ETHEL MIRIAM IUSIM M.D.
NPI 1205066362
General Practice in Jackson Heights, NY

Q: What is Ethel Iusim's NPI number?

The NPI number for Ethel Iusim is 1205066362. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Q: What is Ethel Iusim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Ethel Iusim was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 July 22, 2009

95-55 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372(718) 478-7272(718) 478-6455 Get Directions Write a Review

NPPES record last updated: July 28, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ethel Miriam Iusim M.d. NPPES

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

ETHEL MIRIAM IUSIM M.D. (NPI 1205066362) is an individual general practice provider in Jackson Heights, New York, licensed in New York (191660) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1205066362

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameETHEL MIRIAM IUSIMCredential: M.D.

Location Address95-55 ROOSEVELT AVEJackson Heights, NY 11372

Mailing Address95-55 Roosevelt AveJackson Heights, NY 11372 · (718) 478-7272 · Fax (718) 478-6455

Phone(718) 478-7272

Fax(718) 478-6455

Sole ProprietorYes

Enumeration DateJuly 22, 2009

Last NPPES UpdateJuly 28, 2009

✔ NPI 1205066362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NY · 191660

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

95-55 ROOSEVELT AVE, Jackson Heights, NY 11372

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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 Ethel Iusim's NPI number?

The NPI number for Ethel Iusim is 1205066362. It was assigned to this individual provider in the NPPES registry on July 22, 2009.

Where is Ethel Iusim located?

Ethel Iusim practices at 95-55 Roosevelt Ave, Jackson Heights, NY 11372. The listed phone number is (718) 478-7272.

What is Ethel Iusim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Ethel Iusim was last updated on July 28, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.