Terry Dussek

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

10818 Queens Blvd Ste 4a
Forest Hills, NY 11375-4748

Phone

(212) 804-7659

Fax

(888) 975-7704

NPI assigned

Nov 17, 2022

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1619686797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14333 SANFORD AVE APT A1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552021",
            "telephone_number": "646-391-6591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 QUEENS BLVD STE 4A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754748",
            "telephone_number": "212-804-7659",
            "fax_number": "888-975-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSSEK",
        "first_name": "TERRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICE COORDINATOR",
            "identifier": "461882750",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aees",
            "affiliation": "N",
            "endpointDescription": "service coordinator",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "aees",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aees",
            "address_1": "10818 Queens Blvd Ste 4A",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113754748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Anne Dunlop, D.C.
• Ernest Dupuy, M.D.
• Karol Jolyeth Duque Restrepo, SLP
• Melissa Duran, LMSW
• Carol Yvette Durand, RPA-C
• Maria Dutan
• Marcia Junior Duverne, OTR/L
• Dy Medical Supply Inc
• Ruben Dybner, MD
• Dynamic Care OT, PT, SLP PLLC

• Case Manager/Care Coordinator in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.