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DR. GRIGORIY YUSUPOV DDS
NPI 1023279254
Dentist in Elizabeth, NJ

Active since June 20, 2008PECOS EnrolledAccepts Medicare Assignment
65 JEFFERSON AVENUE, ELIZABETH, NJ 07201(908) 527-8688(908) 527-9399 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Grigoriy Yusupov Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRIGORIY YUSUPOV DDS (NPI 1023279254) is an individual dentist in Elizabeth, New Jersey, licensed in New Jersey (220102207500) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of New York University College Of Dentistry (1997).

NPPES Registry Identity

NPI1023279254
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. GRIGORIY YUSUPOVCredential: DDS
Location Address65 JEFFERSON AVENUEElizabeth, NJ 07201
Mailing Address65 Jefferson AvenueElizabeth, NJ 07201 · (908) 527-8688 · Fax (908) 527-9399
Phone(908) 527-8688
Fax(908) 527-9399
Sole ProprietorNo
Medical School CMSNew York University College Of DentistryGraduated 1997
Enumeration DateJune 20, 2008
Last NPPES UpdateMay 1, 2012
✔ NPI 1023279254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in NJ · 220102207500
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
65 JEFFERSON AVENUE, Elizabeth, NJ 07201
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Other Identifiers 1

Medicaid9069909NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Grigoriy Yusupov Dds is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860801867
PECOS Enrollment IDI20210504000515, I20211229000378
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Creation of flap graft to eyelids, nose, ears, lips, or mouth 15576
A flap graft is a procedure where tissue from a healthy part of your body is moved to repair damaged areas in your eyelids, nose, ears, lips, or mouth. This can help restore function and appearance. The tissue remains connected to its original blood supply, promoting healing.
271 services87 patients
Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm 11442
This procedure involves the removal of a noncancerous skin growth on your face, ears, eyelids, nose, lips, or mouth that measures between 1.1-2.0 cm. It's a safe process to enhance your comfort and appearance.
200 services69 patients
Destruction of growth or scar of mouth 40820
"Destruction of a growth or scar in the mouth involves removing abnormal tissue to promote healing. This could be due to a benign growth or a scar causing discomfort. The procedure is typically done under local anesthesia, ensuring a painless experience."
85 services42 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
55 services55 patients
Creation of flap graft to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet 15574
A flap graft is a surgical procedure where skin and tissue are moved from one area of the body to another. This is often done to repair areas affected by injury, disease, or surgery. The procedure helps restore function and appearance to the targeted region.
53 services30 patients
Repair of lower jaw bone with bone graft 21215
This procedure involves the use of bone grafts to repair defects or damages in your lower jaw bone. A bone graft is a piece of bone taken from another part of your body or a special bone material. It helps stimulate new bone growth and provide structural stability.
49 services36 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAFAEL MIKHAILOV DDS
Dentist
65 JEFFERSON AVENUE
ELIZABETH, NJ 07201
Union County (908) 527-8688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grigoriy Yusupov's NPI number?

The NPI number for Grigoriy Yusupov is 1023279254. It was assigned to this individual provider in the NPPES registry on June 20, 2008.

Where is Grigoriy Yusupov located?

Grigoriy Yusupov practices at 65 Jefferson Avenue, Elizabeth, NJ 07201. The listed phone number is (908) 527-8688.

What is Grigoriy Yusupov's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Grigoriy Yusupov enrolled in Medicare?

Yes. Grigoriy Yusupov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Grigoriy Yusupov accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Grigoriy Yusupov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Grigoriy Yusupov affiliated with any hospitals?

According to CMS data, Grigoriy Yusupov is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Grigoriy Yusupov was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.