Sunczerae Shanee Kushkituah, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

058053 Issued in NY

Practice address

1008 Gates Ave
Brooklyn, NY 11221-3602

Phone

(718) 452-1307

Fax

(718) 919-7906

NPI assigned

Feb 6, 2007

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EABGBA

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

• Sadler Health Center Corporation

  • Federally Qualified Health Center (FQHC)
  • Carlisle, PA
  • NPI 1467494823
  Medicare reassignment NPD
• Sadler Health Center Corporation

  • Federally Qualified Health Center (FQHC)
  • Mechanicsburg, PA
  • NPI 1619681616
  NPD
• Jerome S. Rosenberg DDS, PC

  • Dentist
  • Brooklyn, NY
  • NPI 1326342700
  NPD (past)
• John Jenks DDS PC

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1457216426
  NPD (past)
• Sadler Health Center Corporation

  • Federally Qualified Health Center (FQHC)
  • Loysville, PA
  • NPI 1740414416
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639218696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213602",
            "telephone_number": "718-452-1307",
            "fax_number": "718-919-7906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112213602",
            "telephone_number": "718-452-1307",
            "fax_number": "718-919-7906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHKITUAH",
        "first_name": "SUNCZERAE",
        "middle_name": "SHANEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "058053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02822219",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Leah Kurz, RPA-C
• Verena Kurz, OTR
• Danielle Kurzweil, LMSW
• Diana S Kusayev
• Irina Kusayev, RN
• Anna Kushner
• Leonard Kushner
• Marina Kushner, MS, OTR/L
• Nina Kushner, MD
• Rochel Kushner, CCC-SLP

• 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 Jul 8, 2007; 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.