Justin Schussheim DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056152 Issued in NY

Legal business name

JUSTIN SCHUSSHEIM DDS PC

Practice address

71 Todt Hill Rd
Suite 203
Staten Island, NY 10314-4510

Phone

(718) 816-8102

Fax

(718) 816-0769

NPI assigned

Jun 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Justin Schusheim, DDS

Title

President

Phone

(516) 509-4732

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Paul M Tarantola, DDS

  • General Practice Dentistry
  • Staten Island, NY
  • NPI 1659334258
  NPD (past)

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1922480102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 TODT HILL RD",
            "address_2": "SUITE 203",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144510",
            "telephone_number": "718-816-8102",
            "fax_number": "718-816-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 TODT HILL RD",
            "address_2": "SUITE 203",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144510",
            "telephone_number": "718-816-8102",
            "fax_number": "718-816-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN SCHUSSHEIM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "SCHUSHEIM",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-509-4732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, 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 Jun 23, 2015; 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.