ANNA KAPUSTINA (NPI# 1508176801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508176801 |
| Entity Type | Individual |
| Full Name | ANNA KAPUSTINA |
| Credential | PA |
| Practice Address |
5205 Church Ave Brooklyn NY 11203-3513 |
| Practice Telephone | 7186888000 |
| Practice Fax Number | 7186888089 |
| Mailing Telephone | 7186888000 |
| Mailing Fax Number | 7186888089 |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2010-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
013927 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5205 CHURCH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962462416 | Igor Khutoretskiy | Specialist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2006-03-27 |
| 1144697483 | Ralph Beaubrun | Specialist/Technologist, Other | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2015-08-21 |
| 1114324696 | Afam Family Dental Pllc | Dentist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2014-11-26 |
| 1316289853 | American Comprehensive Healthcare Medical Group. PC | Specialist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2013-03-22 |
| 1033475157 | Lenore Shamah | Dietitian, Registered | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2012-04-03 |
| 1063718435 | Afam Dental Pllc | Dentist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2011-02-02 |
| 1316195530 | Afam Dental Associates P C | Dentist | 5205 Church Ave, 2nd Fl, Brooklyn, NY 11203-3513 | 2008-08-29 |
| 1477723468 | Jane Jaroonnarm | Dentist | 5205 Church Ave, Floor 2, Brooklyn, NY 11203-3513 | 2008-03-05 |
| 1659576726 | Afam Dental Associates, LLP | Dentist | 5205 Church Ave, 2nd Floor, Dental Suite, Brooklyn, NY 11203-3513 | 2007-06-19 |
| 1184830689 | Yamit Busidan | Obstetrics & Gynecology | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710517305 | Angenis Lin | Physician Assistant | 1526 83rd St, Brooklyn, NY 11228-3130 | 2020-01-22 |
| 1740848985 | Mallory Des Champs | Physician Assistant | 7901 4th Ave Ste A20, Brooklyn, NY 11209-3957 | 2019-06-03 |
| 1588140230 | Sharon Cheptum Griesinger | Physician Assistant | 276 Hawthorne St Apt 1, Brooklyn, NY 11225-5908 | 2018-07-16 |
| 1336651629 | Francine Panely | Physician Assistant | 460 Neptune Ave Apt 18r, Brooklyn, NY 11224-4325 | 2017-10-26 |
| 1265951479 | Leah Mcmullen | Physician Assistant | 803 Nostrand Ave Apt 1l, Brooklyn, NY 11225-1539 | 2017-09-19 |
| 1033655378 | Zacharia El-samin | Physician Assistant | 21 Pine Tree Ter, Brooklyn, CT 06234-3324 | 2017-01-10 |
| 1982156816 | Chad Smartt | Physician Assistant | 988 E 39th St, Brooklyn, NY 11210-3508 | 2016-10-26 |
| 1154870913 | Christina Masaitis | Physician Assistant | 2171 E 18th St, Apt 1c, Brooklyn, NY 11229-4468 | 2016-09-22 |
| 1447615737 | Eliezer Gurkov | Physician Assistant | 888 Montgomery St, Apt F12, Brooklyn, NY 11213-5888 | 2015-12-31 |
| 1588039846 | Inna Kremen | Physician Assistant | 2829 Ocean Pkwy Ste 3, Brooklyn, NY 11235-7859 | 2015-12-11 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.