DR. DAVID KUSOVITSKY (NPI# 1093710295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093710295 |
Entity Type | Individual |
Full Name | DR. DAVID KUSOVITSKY |
Credential | D.M.D. |
Practice Address |
2 Church St S Ste 216 New Haven CT 06519-1717 |
Practice Telephone | 2037731701 |
Practice Fax Number | 2037280370 |
Mailing Telephone | 2037731701 |
Mailing Fax Number | 2037280370 |
Enumeration Date | 2005-06-15 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
5621 | CT | Dental Providers |
Street Address |
2 CHURCH ST S STE 216 |
City | NEW HAVEN |
State | CT |
Zip Code | 06519-1717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932519311 | Caroline Anne Nelson | Dermatology | 2 Church St S, New Haven, CT 06519-1717 | 2014-05-06 |
1730439548 | New Haven Prosthodontics, PC | Dentist | 2 Church St S, Suite 216, New Haven, CT 06519-1717 | 2012-09-19 |
1720336415 | Hammers Healthcare Imaging, LLC | Radiology | 2 Church St S, Suite 110, New Haven, CT 06519-1717 | 2012-08-28 |
1629353016 | Rajita Sinha | Psychologist | 2 Church St S, Suite 209, New Haven, CT 06519-1717 | 2011-10-17 |
1417250945 | Interpace Diagnostics Lab, Inc. | Clinical Medical Laboratory | 2 Church St S, Suite B-05, New Haven, CT 06519-1717 | 2010-12-06 |
1205137783 | Roslyn Chosak M.d.,l.l.c. | Specialist | 2 Church St S, Suite 501, New Haven, CT 06519-1717 | 2010-11-15 |
1235468711 | Robert F Berke-schlessel | Surgery | 2 Church St S, Suite 504, New Haven, CT 06519-1717 | 2009-12-14 |
1770817991 | Sachin N Desai | Pediatrics | 2 Church St S, Suite 300a, New Haven, CT 06519-1717 | 2009-09-21 |
1063654945 | Anne M Lovejoy | Physician Assistant | 2 Church St S, Suite 515, New Haven, CT 06519-1717 | 2009-03-24 |
1891934881 | Alisa Marie Scherban | Dietitian, Registered | 2 Church St S, Suite 201, New Haven, CT 06519-1717 | 2009-02-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
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Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730439548 | New Haven Prosthodontics, PC | Dentist | 2 Church St S, Suite 216, New Haven, CT 06519-1717 | 2012-09-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063802221 | Benjanin M Frank | Dentist | 105 A Newton Road, Suite 4, Danbury, CT 06810-1603 | 2015-01-27 |
1801133293 | Ajay Kumar Dhingra | Dentist | 263 Farmington Ave Rm L6053, Farmington, CT 06030-1615 | 2013-01-06 |
1093085144 | Joel M Leon | Dentist | 138 Milbank Ave, Greenwich, CT 06830-6626 | 2012-01-06 |
1477751758 | Guillermo Zapata | Dentist | 25 Glenbrook Rd, Apt. 534, Stamford, CT 06902-2871 | 2007-07-06 |
1366651663 | Gary Edward Horblitt | Dentist | 2226 Black Rock Tpke, Fairfield, CT 06825 | 2007-05-22 |
1831304930 | Andrew Joseph Ponichtera | Dentist | 373 Hopmeadow St, Weatogue, CT 06089-9717 | 2007-05-11 |
1326268020 | Ervin Braun | Dentist | 24 Old Kings Hwy S, Darien, CT 06820-4537 | 2007-04-26 |
1447479233 | Dimitri Perdikis | Dentist | 820 Farmington Ave, West Hartford, CT 06119-1506 | 2007-04-24 |
1699822155 | Diane Elizabeth Gawronski | Dentist | 14 Westbrook Rd, Centerbrook, CT 06409 | 2007-01-05 |
1346305802 | Thomas D. Taylor | Dentist | Uconn Health Ctr, 263 Farmington Avenue, Mc-3915, Farmington, CT 06030-3915 | 2006-12-26 |
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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.