Vitaly Terushkin

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

269373 Issued in NY

Practice address

205 E 69TH St Apt 1C
New York, NY 10021-5437

Phone

(212) 772-3600

NPI assigned

Mar 20, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

New York University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Christopher B. Kruse, M.D., LLCGroup PAC ID 5890849020, 14 clinicians

Allen N Sapadin MD PCGroup PAC ID 5092879601, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.52 of 100Reported as group

Quality

73.79

Improvement activities

40

Cost

76.67

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vit2005@direct.nyp.org
• FHIR API: https://app.meldrx.com/api/fhir/ez_00088

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.

• Allen N. Sapadin, M.D., PC

  • Dermatology Physician
  • Hackensack, NJ
  • NPI 1245477348
  Medicare reassignment Care Compare group NPD
• Christopher B. Kruse, M.D., LLC

  • Dermatology Physician
  • Red Bank, NJ
  • NPI 1457598112
  Medicare reassignment Care Compare group NPD
• Vitaly Terushkin MD PLLC

  • MOHS-Micrographic Surgery Physician
  • New York, NY
  • NPI 1083397731
  Medicare reassignment NPD
• Dermatology Consultants of Millburn

  • Dermatology Physician
  • Short Hills, NJ
  • NPI 1851544423
  Medicare reassignment NPD
• Margaret Ravits MD

  • Dermatology Physician
  • River Edge, NJ
  • NPI 1962565762
  Medicare reassignment NPD
• David S. Becker, M.D., P.C.

  • Specialist
  • New York, NY
  • NPI 1275659542
  NPD
• The Radiology Group of New Jersey, LLC

  • Multi-Specialty Clinic/Center
  • Hackettstown, NJ
  • NPI 1174010540
  NPD
• Allen N. Sapadin, M.D., LLC

  • Procedural Dermatology Physician
  • Hackensack, NJ
  • NPI 1629190939

  Mohs-Micrographic Surgery

  NPD (past)

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

{
    "created_epoch": "1269043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641081600000",
    "number": "1699099671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 69TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215437",
            "telephone_number": "212-772-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 69TH ST APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215437",
            "telephone_number": "212-772-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERUSHKIN",
        "first_name": "VITALY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-20",
        "last_updated": "2022-01-02",
        "certification_date": "2022-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD451382",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NJ",
            "license": "25MA09654300",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "269373",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "269373",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA09654300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desirae Aussef Terry
• Madeleine Terry, PHD
• Michelle Terry
• Rachel Terte, LCSW
• Nicholas Tertinek
• Jeremy Paul Tervo, MD
• Mari Terzaghi, PH.D.
• Artiom Terzi, M.D.
• Raffi Bedros Terzian, PHD
• Stephen Terzuoli, LCSW

• MOHS-Micrographic Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• MOHS-Micrographic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.