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DMITRIY YUSUPOV
NPI 1144413741
Physician Assistant - Medical in Long Island City, NY

Active since August 27, 2007PECOS Enrolled
2510 30TH AVE, MOUNT SINAI HOSPITAL OF QUEENS, LONG ISLAND CITY, NY 11102(718) 932-1000 Get Directions Write a Review

NPPES record last updated: August 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dmitriy Yusupov NPPES

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

DMITRIY YUSUPOV (NPI 1144413741) is an individual medical provider in Long Island City, New York, licensed in New York (012020) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144413741
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDMITRIY YUSUPOV
Location Address2510 30TH AVE, MOUNT SINAI HOSPITAL OF QUEENSLong Island City, NY 11102-2448
Mailing Address2510 30th AveLong Island City, NY 11102-2448 · (718) 932-1000
Phone(718) 932-1000
Sole ProprietorNo
Enumeration DateAugust 27, 2007
Last NPPES UpdateAugust 7, 2013
✔ NPI 1144413741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 012020
2510 30TH AVE, Long Island City, NY 11102
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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 (PECOS)

Dmitriy Yusupov is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$29.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ASIF MURSHED CHOWDHURY PA-C
Physician Assistant
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 932-1000
KAMILIA AIT BELKACEM PA
Physician Assistant
2510 30TH AVE
ASTORIA, NY 11102
Queens County (347) 862-8380
NIA GRANT PA
Physician Assistant
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 932-1000
JEAN CLAUDE BAYLE MD
Surgery
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 267-4245
JENNIFER WANG
Physician Assistant
2510 30TH AVE
ASTORIA, NY 11102
Queens County (718) 267-4262
MR. MIYASEKI SAKAEDA PARAGAS NP
Nurse Practitioner (Family)
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 808-7790
DR. MARIAM NOOR
Pharmacist
2510 30TH AVE
LONG ISLAND CITY, NY 11102
Queens County (718) 932-1000
KAREN XU RPH
Pharmacist
2510 30TH AVE
ASTORIA, NY 11102
Queens County (718) 267-4267

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 Dmitriy Yusupov's NPI number?

The NPI number for Dmitriy Yusupov is 1144413741. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Dmitriy Yusupov located?

Dmitriy Yusupov practices at 2510 30th Ave Mount Sinai Hospital Of Queens, Long Island City, NY 11102. The listed phone number is (718) 932-1000.

What is Dmitriy Yusupov's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Dmitriy Yusupov enrolled in Medicare?

Yes. Dmitriy Yusupov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dmitriy Yusupov was last updated on August 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.