Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Grigoriy Yusupov, DDS

Individual provider Dentist · NPI 1023279254

Dr. Grigoriy Yusupov, DDS is a Dentist in Elizabeth, New Jersey. Graduated from New York University College of Dentistry in 1997, 29 years ago. Accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
29
Trained at
New York University College of Dentistry
Licensed in
NJ
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

65 Jefferson Ave
Elizabeth, NJ 07201
Phone: (908) 527-8688
Fax: (908) 527-9399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 220102207500 (NJ)

Record details

NPI number1023279254
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 20, 2008
Last updated in NPPESMay 1, 2012
Mailing address65 Jefferson Avenue, Elizabeth, NJ 07201

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolNEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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