DR. MARINA YUSUPOV (NPI# 1649633090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649633090 |
| Entity Type | Individual |
| Full Name | DR. MARINA YUSUPOV |
| Practice Address |
585 Schenectady Ave K4 Brooklyn NY 11203-1822 |
| Mailing Address |
53 Warren St Apt Ph New York NY 10007-1218 |
| Practice Telephone | 7183636771 |
| Practice Fax Number | 7183636982 |
| Mailing Telephone | 2124708221 |
| Enumeration Date | 2016-04-02 |
| Last Update Date | 2016-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851729735 | Marina Yusupov | Physician Assistant | 11239 68th Ave, Forest Hills, NY 11375-2937 | 2013-10-31 |
| Street Address |
585 SCHENECTADY AVE K4 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126311 | Sudha Narayanaswamy | Pharmacist | 585 Schenectady Ave, Brooklyn, NY 11203-1809 | 2005-07-05 |
| 1629684469 | Jenny Christina Thaung | Physician Assistant | 585 Schenectady Ave, Brooklyn, NY 11203 | 2020-09-17 |
| 1538775374 | Vickie Zhao | Physician Assistant | 585 Schenectady Ave, Brooklyn, NY 11203 | 2020-09-17 |
| 1568073385 | Afifah Maqsood | Physician Assistant | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-08-14 |
| 1235749953 | Nathan Siavash Solomon | Podiatrist | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-08-06 |
| 1801413752 | Darel Bouhadana | Student in an Organized Health Care Education/Training Program | 585 Schenectady Ave, Brooklyn, NY 11203 | 2020-06-26 |
| 1780208678 | Oren Hariri | Student in an Organized Health Care Education/Training Program | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-06-05 |
| 1366066326 | Ella Choi | Podiatrist | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-06-04 |
| 1952925950 | Mohammad Khayrul Islam | Podiatrist | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-06-04 |
| 1174147375 | Ezekiel Dwek | Student in an Organized Health Care Education/Training Program | 585 Schenectady Ave, Brooklyn, NY 11203-1822 | 2020-06-03 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| 1093313355 | Nanyamkah Jacquella Washington | Student in an Organized Health Care Education/Training Program | 280 Sterling St, Brooklyn, NY 11225-4113 | 2020-10-09 |
| 1750996476 | Charlotte Berthe Scott | Student in an Organized Health Care Education/Training Program | 543 Quincy St Apt 1, Brooklyn, NY 11221-6981 | 2020-09-10 |
| 1336751429 | Chhabilal Bastola | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # Im, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1710599840 | Saujan Devkota | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave Apt 1b, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1831709260 | Taimy Falcon-rodriguez | Student in an Organized Health Care Education/Training Program | 142 Jefferson Ave Apt 1, Brooklyn, NY 11216-5909 | 2020-07-31 |
| 1720697048 | Elli Jacob Matatov | Student in an Organized Health Care Education/Training Program | 714 E 9th St, Brooklyn, NY 11230-2202 | 2020-07-23 |
| 1639797178 | Alessia Field | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave Suny Downstate, Department of Obstetrics and Gynecology-msc24, Brooklyn, NY 11203-2012 | 2020-07-10 |
| 1124645361 | Danielle Bensimhon Greco | Student in an Organized Health Care Education/Training Program | 132 Remsen St, Brooklyn, NY 11201-4275 | 2020-07-04 |
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 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.