IndividualActive
Irina Yusupova
NPI 1649515636 · Specialist · Fresh Meadows, NY
Irina Yusupova is a Specialist provider in Fresh Meadows, NY (NPI 1649515636).
Provider details
- NPI number
- 1649515636
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17911 69th Ave
Fresh Meadows, NY 11365-3519
Phone: (718) 316-5676
Street-level locationGet directions
Mailing address
179-11 69th Ave
Fresh Meadows, NY 11365
Registry dates
- Enumerated
- 2012-12-03
- Last updated
- 2012-12-03
Frequently asked questions
- What is Irina Yusupova's NPI number?
- Irina Yusupova's National Provider Identifier (NPI) is 1649515636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Irina Yusupova's specialty?
- Irina Yusupova is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Irina Yusupova located?
- Irina Yusupova's practice location on file with NPPES is 17911 69th Ave, Fresh Meadows, NY 11365-3519.
- What is Irina Yusupova's phone number?
- The practice phone number listed in the NPPES registry for Irina Yusupova is (718) 316-5676.
- Is Irina Yusupova's NPI active?
- Yes — Irina Yusupova's NPI (1649515636) is active in the NPPES registry as of the last update on 2012-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.