Organization Active NPI

Alla Zusin Dentistry, PC

  • Dentist
  • Brooklyn, NY
National Provider Identifier
1750412698
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39108-1 Issued in NY
Legal business name
ALLA ZUSIN DENTISTRY, PC
Practice address
3130 Brighton 6 Street
Suite 1-G
Brooklyn, NY 11235
Phone
(718) 743-2501
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Authorized official

Name
Dr. Alla Zusin, DDSNPI 1124339163
Title
Owner
Phone
(718) 743-2501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 39108-1 NY Primary

Addresses

Primary practice location

3130 Brighton 6 Street
Suite 1-G
Brooklyn, NY 11235

Mailing address

3130 Brighton 6 Street
Suite 1-G
Brooklyn, NY 11235
Phone (718) 743-2501

Other identifiers 1

IdentifierTypeStateIssuer
00888922MedicaidNY

National Provider Directory

National Provider Directory

Locations

3130 Brighton 6th St
Ste 1G
Brooklyn, NY 11235
Phone (718) 743-2501

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376956800000",
    "number": "1750412698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 BRIGHTON 6 STREET",
            "address_2": "SUITE 1-G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-743-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 BRIGHTON 6 STREET",
            "address_2": "SUITE 1-G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-743-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLA ZUSIN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-08-20",
        "status": "A",
        "authorized_official_last_name": "ZUSIN",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-743-2501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "39108-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00888922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.