Artur Yusupov (NPI# 1497139133, PAC ID# 4486950177) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1497139133 |
| PAC ID by PECOS | 4486950177 |
| Professional Enrollment ID | I20160307000806 |
| Full Name | Artur Yusupov |
| Organization Legal Name | ADVANCED DERMATOLOGY OF NEW YORK PC |
| Address |
291 E 149th Ave Advanced Dermatology Assoc Bronx NY 10451-5601 |
| Phone Number | 7187421000 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5193617082 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2100 Bartow Ave, Bronx, NY 10475-4614 | 2122622500 | ADVANCED DERMATOLOGY OF NEW YORK PC |
| 291 E 149th Ave, Advanced Dermatology Assoc, Bronx, NY 10451-5601 | 7187421000 | ADVANCED DERMATOLOGY OF NEW YORK PC |
| Organization Legal Name | ADVANCED DERMATOLOGY OF NEW YORK PC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mike David | Physician Assistant | Advanced Dermatology of New York PC | 291 E 149th Ave, Advanced Dermatology Assoc, Bronx, NY 10451-5601 |
| Lawrence D Jaeger | Dermatology | Advanced Dermatology of New York PC | 2432 Grand Concourse, Bronx, NY 10458-5204 |
| Daniel Lebovits | Physician Assistant | Advanced Dermatology of New York PC | 200 Central S Park, Suite 107, New York, NY 10019-1449 |
| Matthew Hislop | Physician Assistant | Advanced Dermatology of New York PC | 200 Central S Park, Suite 107, New York, NY 10019-1449 |
| Kenneth Edward Bloom | Pathology | Advanced Dermatology of New York PC | 200 Central S Park, Suite 107, New York, NY 10019-1449 |
| Moises Acevedo | Physician Assistant | Advanced Dermatology of New York PC | 291 E 149th Ave, Advanced Dermatology Assoc, Bronx, NY 10451-5601 |
| Angela America Libranti | Physician Assistant | Advanced Dermatology of New York PC | 200 Central S Park, Suite 107, New York, NY 10019-1449 |
| James N Icken | Dermatology | Advanced Dermatology of New York PC | 200 Central S Park, Suite 107, New York, NY 10019-1449 |
| Bhargavi Patel | Physician Assistant | Advanced Dermatology of New York PC | 291 E 149th Ave, Advanced Dermatology Assoc, Bronx, NY 10451-5601 |
| Elizabeth Elliott | Physician Assistant | Advanced Dermatology of New York PC | 291 E 149th Ave, Advanced Dermatology Assoc, Bronx, NY 10451-5601 |
| Street Address |
291 E 149TH AVE ADVANCED DERMATOLOGY ASSOC |
| City | BRONX |
| State | NY |
| Zip | 10451-5601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mike David | Physician Assistant | Advanced Dermatology of New York PC | 291 E 149th Ave, Advanced Dermatology Assoc, Bronx, NY 10451-5601 |
| Moises Acevedo | Physician Assistant | Advanced Dermatology of New York PC | 291 E 149th Ave, Advanced Dermatology Assoc, Bronx, NY 10451-5601 |
| Bhargavi Patel | Physician Assistant | Advanced Dermatology of New York PC | 291 E 149th Ave, Advanced Dermatology Assoc, Bronx, NY 10451-5601 |
| Elizabeth Elliott | Physician Assistant | Advanced Dermatology of New York PC | 291 E 149th Ave, Advanced Dermatology Assoc, Bronx, NY 10451-5601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amir Hedayati | Diagnostic Radiology | 237 E 149th St, Bronx, NY 10451-1863 | |
| David S Shenker | Emergency Medicine | City Medical of Upper East Side Pllc | 68 E 161st St, Bronx, NY 10451-2207 |
| Michael S Soliman | Hospitalist | City Medical of Upper East Side Pllc | 68 E 161st St, Bronx, NY 10451-2207 |
| Bernard D Sokolowski | Podiatry | 825 Walton Ave, Doctor's Office, Bronx, NY 10451-2306 | |
| Madan Bhatia Paul | Geriatric Medicine | 825 Walton Ave, Bronx, NY 10451-2306 | |
| Michael Kristian T Mangubat | Physical Therapy | 825 Walton Ave, Bronx, NY 10451-2306 | |
| Rosie Pettway | Clinical Social Worker | 1020 Grand Concourse, Apt 8s, Bronx, NY 10451-2609 | |
| Aline A Shehigian | Nurse Practitioner | 930 Grand Concourse, Apt 1k, Bronx, NY 10451-2706 | |
| Osafradu A Opam | Neurology | 930 Grand Concourse, Apt 1j, Bronx, NY 10451-2706 | |
| Jean Yves Dastain | General Practice | Denny Martin Md PC | 930 Grand Concourse, Apt 1k, Bronx, NY 10451-2706 |
| Find all physicians in zip 10451 | |||
| City | BRONX |
| Zip Code | 10451 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BRONX + PHYSICIAN ASSISTANT |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.