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VITALY TERUSHKIN MD PLLC
NPI 1083397731
Dermatology - MOHS-Micrographic Surgery in New York, NY

Active since August 09, 2023
205 E 69TH ST APT 1C, NEW YORK, NY 10021(212) 249-2552(212) 772-7370 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vitaly Terushkin Md Pllc NPPES

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

VITALY TERUSHKIN MD PLLC (NPI 1083397731) is a healthcare organization registered as a mohs-micrographic surgery in New York, New York and active in the NPI registry since August 2023. The organization lists Jeanmarie Foreman, Manager, as its authorized official.

NPPES Registry Identity

NPI1083397731
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameVITALY TERUSHKIN MD PLLC
Location Address205 E 69TH ST APT 1CNew York, NY 10021-5437
Mailing Address205 E 69th St Apt 1cNew York, NY 10021-5437 · (212) 249-2552 · Fax (212) 772-7370
Phone(212) 249-2552
Fax(212) 772-7370
Organization SubpartNo
Authorized OfficialJeanmarie ForemanManager · (212) 249-2552
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1083397731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
205 E 69TH ST APT 1C, New York, NY 10021
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vitaly Terushkin Md Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Vitaly Terushkin MD PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vitaly Terushkin
Dermatology
NPI 1699099671
205 E 69TH ST APT 1C
New York, NY 10021
(212) 772-3600
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vitaly Terushkin MD PLLC's NPI number?

The NPI number for Vitaly Terushkin MD PLLC is 1083397731. It was assigned to this organization in the NPPES registry on August 9, 2023.

Where is Vitaly Terushkin MD PLLC located?

Vitaly Terushkin MD PLLC is located at 205 E 69th St Apt 1C, New York, NY 10021. The listed phone number is (212) 249-2552.

What is Vitaly Terushkin MD PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Is Vitaly Terushkin MD PLLC enrolled in Medicare?

Yes. Vitaly Terushkin MD PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitaly Terushkin MD PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Vitaly Terushkin MD PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vitaly Terushkin MD PLLC was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.