DANA YUSUPOV
NPI 1477050193
Dentist in East Meadow, NY

Q: What is Dana Yusupov's NPI number?

The NPI number for Dana Yusupov is 1477050193. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Q: What is Dana Yusupov's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Dana Yusupov was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 09, 2018PECOS Enrolled

2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554(718) 864-4574 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 24, 2019, Feb 4, 2019, Apr 9, 2018 (3 updates tracked since 2018).

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About Dana Yusupov NPPES

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

DANA YUSUPOV (NPI 1477050193) is an individual dentist in East Meadow, New York, licensed in New York (060787) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477050193

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDANA YUSUPOV

Location Address2201 HEMPSTEAD TPKEEast Meadow, NY 11554-1859

Mailing Address2201 Hempstead TpkeEast Meadow, NY 11554-1859

Phone(718) 864-4574

Sole ProprietorNo

Enumeration DateApril 9, 2018

Last NPPES UpdateSeptember 24, 20193 updates tracked since enumeration

✔ NPI 1477050193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 060787

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2201 HEMPSTEAD TPKE, East Meadow, NY 11554

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana 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.

Medicare Billing Reassignments

Medicare enrollment records show Dana Yusupov reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Charles Evans Center, Inc.

3.8 mi

Federally Qualified Health Center (FQHC)

857 S OYSTER BAY RD
Bethpage, NY 11714

Reassigned Medicare billing, New York enrollment
66 clinicians in this Medicare group

NPI 1972982007 (516) 622-8888

Joseph P. Addabbo Family Health Center, Inc.

13 mi

Federally Qualified Health Center (FQHC)

11811 GUY R BREWER BLVD
Jamaica, NY 11434

Reassigned Medicare billing, New York enrollment
33 clinicians in this Medicare group

NPI 1750638961 (718) 945-7150

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11554 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 20

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

ROSITA BERNADOTTE R.N.

Registered Nurse

2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554

Nassau County (516) 572-6131

KENICE E. DALTON JR. O.T.

Occupational Therapist

2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER
EAST MEADOW, NY 11554

Nassau County (516) 572-6131

VIVIAN LYNN POLLOCK M.S.W.

Social Worker

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-6131

CICILY BROWN R.N.

Registered Nurse

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-6131

SHAMAILA IDREES M.D.

Psychiatry & Neurology (Psychiatry)

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-6171

DR. SARAH ROSE STEVENS DO

Student in an Organized Health Care Education/Training Program

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-0123

WEI LEONG DO

Student in an Organized Health Care Education/Training Program

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-6177

KONSTANTINOS IOANNIS FORTOUNAS MD

Student in an Organized Health Care Education/Training Program

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-6637

DR. RAHUL KUMAR CHUMBER DO

Student in an Organized Health Care Education/Training Program

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 296-8629

NASSAU HEALTH CARE CORPORATION

General Acute Care Hospital

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-6711

DR. GLENN RORY FAUST MD

Surgery (Vascular Surgery)

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-6705

WALGREEN CO

Pharmacy

2201 HEMPSTEAD TPKE, STE 1-413
EAST MEADOW, NY 11554

Nassau County (516) 542-7670

RYAN SENESE

Surgery

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-0123

LEAH ILYAEV DO

Student in an Organized Health Care Education/Training Program

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-3110

ANTHONY LOUIS CAPPELLINO DO

Student in an Organized Health Care Education/Training Program

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 296-3339

NAVA KATZ MD

Student in an Organized Health Care Education/Training Program

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 296-2830

NORTHPORT VAMC

Clinic/Center (VA)

2201 HEMPSTEAD TPKE, BUILDING Q
EAST MEADOW, NY 11554

Nassau County (717) 277-6565

JULIE O'MARA

Audiologist

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-6131

DR. DAVIS RUSSAL SAMUEL D.O.

Internal Medicine (Critical Care Medicine)

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-0123

SNEHA GALIVEETI

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2201 HEMPSTEAD TPKE
EAST MEADOW, NY 11554

Nassau County (516) 572-6501

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 Dana Yusupov's NPI number?

The NPI number for Dana Yusupov is 1477050193. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Dana Yusupov located?

Dana Yusupov practices at 2201 Hempstead Tpke, East Meadow, NY 11554. The listed phone number is (718) 864-4574.

What is Dana Yusupov's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Dana Yusupov enrolled in Medicare?

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

Which organizations bill Medicare for Dana Yusupov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Yusupov reassigns Medicare benefits to 2 organizations: Charles Evans Center, Inc. (Bethpage, NY) and Joseph P. Addabbo Family Health Center, Inc. (Jamaica, NY). Each 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 Dana Yusupov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dana Yusupov accept?

Health plans from Humana list Dana 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 Dana Yusupov was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.