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

Vitaly Terushkin

Individual provider Dermatology Physician · NPI 1699099671

Vitaly Terushkin is a Dermatology in New York, New York. Graduated from New York University School of Medicine in 2010, 16 years ago. Accepts Medicare assignment. Licensed in New Jersey, New York and Pennsylvania.

Years since qualifying
16
Trained at
New York University School of Medicine
Licensed in
NJ, NY, PA
In the registry since
2010
Specialties on file
5
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Practice location Address checks out

205 E 69th St Apt 1C
New York, NY 10021-5437
Phone: (212) 772-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 269373 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence MD451382 (PA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 25MA09654300 (NJ)
Dermatology Physician Taxonomy 207N00000X · Licence 269373 (NY)
Dermatology Physician Taxonomy 207N00000X · Licence 25MA09654300 (NJ)

Record details

NPI number1699099671
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 20, 2010
Last updated in NPPESJanuary 2, 2022
Certification dateJanuary 2, 2022

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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