Amy Avshalumov

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058494 Issued in NY

Practice address

9412 4TH Ave
Brooklyn, NY 11209-7301

Phone

(718) 745-3456

NPI assigned

Jun 30, 2015

Last updated

Feb 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brooklyn Smile Dental Health Services

  • Dentist
  • Brooklyn, NY
  • NPI 1205229044
  NPD (past)
• Gentle Dental Care

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1700944428
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1578946281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9412 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9412 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112097301",
            "telephone_number": "718-745-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVSHALUMOV",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irina Avruchevskaya, M.D.
• Michael Avrut, LCSW
• Irena Avrutin-Khotylev, MS CCC, SLP
• Avs RX Inc (Rubin Chemists)
• Gad Avshalomov, MD
• Anzhelika Avshalumov, LCSW
• Irada Avshalumov, N.P..
• Regina Avshalumova, M.S.
• Tamara Avshalumova
• Tamara Avshalumova, LMSW

• General Practice Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.