DR. ALEKSANDR USOROV MD NPI 1003010174

Internal Medicine (Nephrology) in Brooklyn, NY

About ALEKSANDR USOROV

Aleksandr Usorov is a provider in Brooklyn, NY with more than 14 years of experience. The NPI number assigned to this provider is 1003010174. The practitioner's primary taxonomy code is Internal Medicine (207RN0300X). The provider is registered as an individual and their NPI record was last updated 7 years ago. Aleksandr Usorov is registered with Medicare and accepts claims assignment.

NPI1003010174 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. ALEKSANDR USOROV MD
Provider Location Address447 ATLANTIC AVE BROOKLYN, NY 11217 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address447 ATLANTIC AVE BROOKLYN, NY 11217 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameUNIVERSITY OF COLORADO SCHOOL OF MEDICINE
Graduation Year2004
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date06-13-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-19-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. ALEKSANDR USOROV MD
447 ATLANTIC AVE
BROOKLYN, NY
ZIP 11217
Phone: (718) 858-6300
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Mailing Address

DR. ALEKSANDR USOROV MD
447 ATLANTIC AVE
BROOKLYN, NY
ZIP 11217
Phone: (718) 858-6300

Primary Taxonomy

Taxonomy Code207RN0300X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.245436
License StateNY
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology47950CONo

Taxonomy Description: an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Map Location


DR. ALEKSANDR USOROV MD address is 447 ATLANTIC AVE BROOKLYN, NY 11217

Other Providers at the same location


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Individual
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(718) 858-6300
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Individual
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(718) 858-6300
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Organization
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