Individual provider Active NPI

Yelena Nutskovsky, DMD

  • General Practice Dentistry
  • Spring Valley, NY
National Provider Identifier
1932154382
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049884 Issued in NY
Practice address
375 W Route 59
Spring Valley, NY 10977-5360
Phone
(845) 352-5410
Fax
(845) 352-5412
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049884 NY Primary

Addresses

Primary practice location

375 W Route 59
Spring Valley, NY 10977-5360

Mailing address

237 Mabel PL
Franklin Lakes, NJ 07417-3008
Phone (201) 485-8843

Other identifiers 1

IdentifierTypeStateIssuer
02512861MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
049884NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932154382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 MABEL PL",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074173008",
            "telephone_number": "201-485-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 W ROUTE 59",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109775360",
            "telephone_number": "845-352-5410",
            "fax_number": "845-352-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTSKOVSKY",
        "first_name": "YELENA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02512861",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.