DMITRIY YUSUPOV NPI 1144413741

NPI Information

  • NPI: 1144413741
  • Provider Name: DMITRIY YUSUPOV
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2510 30TH AVE
    MOUNT SINAI HOSPITAL OF QUEENS
    LONG ISLAND CITY, NY
    ZIP 11102
  • Phone: (718) 932-1000

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NPI Details

Dmitriy Yusupov is a medical physician assistant in Long Island City, NY with 18 years of experience. Dmitriy Yusupov NPI is 1144413741. 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:

2510 30TH AVE
MOUNT SINAI HOSPITAL OF QUEENS
LONG ISLAND CITY, NY
ZIP 11102-448
Phone: (718) 932-1000

The NPI 1144413741 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2007 and was last updated on 8/7/2013.

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
1363AM0700XPhysician AssistantMedical012020NEW YORKYes

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: 11/21/2025

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