Dina Yusupova, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA11807000 Issued in NJ

Practice address

100 Hospital Rd Ste 201
East Patchogue, NY 11772-8814

Phone

(631) 475-6900

NPI assigned

Apr 6, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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 1

Specialty

Internal Medicine

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rwjbh Emergency Medicine Associates, LLCGroup PAC ID 0941612840, 826 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024
• Cooperman Barnabas Medical Center Hospital, Livingston, NJ, CCN 310076
• Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
• Newark Beth Israel Medical Center Hospital, Newark, NJ, CCN 310002

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806

  Internal Medicine

  Medicare reassignment NPD
• Robert Wood Johnson University Hospital at Rahway

  • General Acute Care Hospital
  • Rahway, NJ
  • NPI 1861486870
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cooperman Barnabas Medical Center Inc

  • General Acute Care Hospital
  • Livingston, NJ
  • NPI 1396857488
  Care Compare affiliation
• Newark Beth Israel Medical Center Inc

  dba Newark Beth Israel Medical Center

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215027966
  Care Compare affiliation
• Robert Wood Johnson University Hospital at Rahway

  • General Acute Care Hospital
  • Rahway, NJ
  • NPI 1861486870
  Care Compare affiliation
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  Care Compare affiliation

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1902435415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 201",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728814",
            "telephone_number": "631-475-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD STE 201",
            "city": "EAST PATCHOGUE",
            "state": "NY",
            "postal_code": "117728814",
            "telephone_number": "631-475-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "865 Stone St",
            "address_purpose": "LOCATION",
            "city": "Rahway",
            "state": "NJ",
            "postal_code": "070652742",
            "country_code": "US",
            "telephone_number": "732-381-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUSUPOVA",
        "first_name": "DINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA11807000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William James Friedel DDS P.C. (William Friedel DDS P.C.)
• Winthrop Community Medical Affiliates PC (Long Island Cardiology Associates)
• Keith Magnus Witt, D.O.
• Jacqueline Woodburn, PA
• Daniela Yepez Romero, MD
• Juan C. Zapata, M.D.
• John Phillip Zauner, RPH
• Joseph Michael Zehentner, DPM
• Craig M Zeier, PT, DPT, MS
• Indri Lalman Zulfekar, RN

• Internal Medicine Physician in East Patchogue, NY
• Providers in East Patchogue, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.