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AMY AVSHALUMOV
NPI 1578946281
Dentist - General Practice in Brooklyn, NY

Active since June 30, 2015PECOS Enrolled
9412 4TH AVE, BROOKLYN, NY 11209(718) 745-3456 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Avshalumov NPPES

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

AMY AVSHALUMOV (NPI 1578946281) is an individual general practice provider in Brooklyn, New York, licensed in New York (058494) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578946281
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAMY AVSHALUMOV
Location Address9412 4TH AVEBrooklyn, NY 11209-7301
Mailing Address9412 4th AveBrooklyn, NY 11209-7301
Phone(718) 745-3456
Sole ProprietorYes
Enumeration DateJune 30, 2015
Last NPPES UpdateFebruary 25, 2025
NPPES CertifiedFebruary 25, 2025
✔ NPI 1578946281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 058494
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.
9412 4TH AVE, Brooklyn, NY 11209
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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)

Amy Avshalumov 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 11209 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 3

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

BROOKLYN SMILE DENTAL HEALTH SERVICES
Dentist
9412 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 745-3456
GENTLE DENTAL CARE
Dentist (General Practice)
9412 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 745-3456
DR. GARY HERSKOVITS DDS
Dentist
9412 4TH AVE
BROOKLYN, NY 11209
Kings County (718) 745-3456

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 Amy Avshalumov's NPI number?

The NPI number for Amy Avshalumov is 1578946281. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Amy Avshalumov located?

Amy Avshalumov practices at 9412 4th Ave, Brooklyn, NY 11209. The listed phone number is (718) 745-3456.

What is Amy Avshalumov's specialty?

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

Is Amy Avshalumov enrolled in Medicare?

Yes. Amy Avshalumov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Avshalumov was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.