THEODORE WILFRED AVRUSKIN M.D. NPI 1003918822

NPI Information

NPI: 1003918822
Provider Name: THEODORE WILFRED AVRUSKIN, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

Address:
1 BROOKDALE PLZ
SUITE 222-AARON BUILDING
BROOKLYN, NY
ZIP 11212
Phone: (718) 240-5960
Get Directions

Theodore Wilfred Avruskin, M.D. is an endocrinology and diabetes and metabolism internal medicine in Brooklyn, NY. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Theodore Wilfred Avruskin, M.D. NPI is 1003918822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 BROOKDALE PLZ
SUITE 222-AARON BUILDING
BROOKLYN, NY
ZIP 11212-139
Phone: (718) 240-5960
Fax: (718) 240-5852

The enumeration date for this NPI number is 9/2/2006 and was last updated on 4/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	105322	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	60N0082	OTHER	NEW YORK	NEIGHBORHOOD
2	1000016980	OTHER	NEW YORK	AFFINITY
3	A63378	MEDICARE UPIN	NEW YORK
4	0041461	OTHER	NEW YORK	GHI
5	4C0332	OTHER	NEW YORK	HEALTH NET
6	5398069	OTHER	NEW YORK	US HEALTHCARE
7	581251	MEDICARE PIN	NEW YORK
8	1000002953301	OTHER	NEW YORK	UNITED CHP/FHP/MEDICAID
9	000000080122	OTHER	NEW YORK	GHI HMO
10	0090568	OTHER	NEW YORK	AETNA
11	343010201	OTHER	NEW YORK	HEALTH PLUS
12	00183835	MEDICAID	NEW YORK
13	NY160201	OTHER	NEW YORK	WELLCARE
14	KS967	OTHER	NEW YORK	OXFORD
15	1489777	OTHER	NEW YORK	PHCS
16	105322-A41	OTHER	NEW YORK	HEALTH FIRST
17	105322NO2	OTHER	NEW YORK	HIP
18	100002953303	OTHER	NEW YORK	AMERICHOICE
19	581251	OTHER	NEW YORK	EMPIRE BLUE CROSSBLUE SHI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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