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LEV YUSUPOV DDS
NPI 1174939557
Dentist - General Practice in Manhasset, NY

Active since July 07, 2014PECOS Enrolled
1185 NORTHERN BLVD, DENTAL CARE OF MANHASSET, MANHASSET, NY 11030(516) 441-5142(516) 441-5146 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lev Yusupov Dds NPPES

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

LEV YUSUPOV DDS (NPI 1174939557) is an individual general practice provider in Manhasset, New York, licensed in New York (50 057503) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174939557
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameLEV YUSUPOVCredential: DDS
Location Address1185 NORTHERN BLVD, DENTAL CARE OF MANHASSETManhasset, NY 11030-3017
Mailing Address1185 Northern Blvd, Dental Care Of Manhasset, P.c.Manhasset, NY 11030-3017 · (516) 441-5142 · Fax (516) 441-5146
Phone(516) 441-5142
Fax(516) 441-5146
Sole ProprietorYes
Enumeration DateJuly 7, 2014
Last NPPES UpdateOctober 19, 2015
✔ NPI 1174939557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NY · 50 057503✔ Licensed in CT · 11202
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1185 NORTHERN BLVD, Manhasset, NY 11030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 (PECOS)

Lev Yusupov Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 2

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

DENTAL CARE OF MANHASSET, P.C.
Clinic/Center (Dental)
1185 NORTHERN BLVD
MANHASSET, NY 11030
Nassau County (516) 441-5142
LOURDES DENTAL
Dentist
1185 NORTHERN BLVD
MANHASSET, NY 11030
Nassau County (151) 644-1515

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 Lev Yusupov's NPI number?

The NPI number for Lev Yusupov is 1174939557. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Lev Yusupov located?

Lev Yusupov practices at 1185 Northern Blvd Dental Care Of Manhasset, Manhasset, NY 11030. The listed phone number is (516) 441-5142.

What is Lev Yusupov's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Lev Yusupov enrolled in Medicare?

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

What insurance does Lev Yusupov accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Lev 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.

When was this NPI record last updated?

The NPPES record for Lev Yusupov was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.