TETIANA USTINOV
NPI 1124606421
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Q: What is Tetiana Ustinov's NPI number?

The NPI number for Tetiana Ustinov is 1124606421. It was assigned to this individual provider in the NPPES registry on March 30, 2021.

Q: What is Tetiana Ustinov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tetiana Ustinov was last updated on March 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 30, 2021PECOS EnrolledAccepts Medicare Assignment

1 BROOKDALE PLZ, BROOKLYN, NY 11212(718) 240-6205 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tetiana Ustinov NPPES

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

TETIANA USTINOV (NPI 1124606421) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1124606421

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameTETIANA USTINOV

Location Address1 BROOKDALE PLZBrooklyn, NY 11212-3139

Mailing Address1 Brookdale PlzBrooklyn, NY 11212-3139 · (718) 240-6205

Phone(718) 240-6205

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 30, 2021

NPPES CertifiedMarch 30, 2021

✔ NPI 1124606421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

1 BROOKDALE PLZ, Brooklyn, NY 11212

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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

Tetiana Ustinov 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 ID1557858396

PECOS Enrollment IDI20251015000060

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.

Other Providers at the Same Location NPPES 20

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

MADI LINDAUER MD

Emergency Medicine