ANDREA JUAREZ (NPI# 1508465139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508465139 |
| Entity Type | Individual |
| Full Name | ANDREA JUAREZ |
| Credential | PA |
| Practice Address |
9712 63rd Dr Rego Park NY 11374-2243 |
| Mailing Address |
7 Market Dr Syosset NY 11791-6917 |
| Practice Telephone | 7188300004 |
| Mailing Telephone | 6317452692 |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2020-10-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 024776 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657628 | Andrea Juarez | Occupational Therapist | 1301 E Sunshine St, Springfield, MO 65804-1143 | 2020-07-23 |
| Street Address |
9712 63RD DR |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225029242 | Steven Batash | Internal Medicine | 9712 63rd Dr, 1d, Rego Park, NY 11374-2243 | 2005-10-31 |
| 1295230837 | Andi Huang | Physician Assistant | 9712 63rd Dr, Rego Park, NY 11374-2243 | 2018-03-27 |
| 1255606091 | Rego Park Dental P.C. | Dentist | 9712 63rd Dr, Suite 1c, Rego Park, NY 11374-2243 | 2012-03-13 |
| 1710284815 | Continental Medical Group | Neurological Surgery | 9712 63rd Dr, Rego Park, NY 11374-2243 | 2011-02-25 |
| 1558666263 | Steven Batash Md PC | Pathology | 9712 63rd Dr, Rego Park, NY 11374-2243 | 2011-01-11 |
| 1336464692 | Cej Anesthesiologist & Pain Management Consultant PC | Anesthesiology | 9712 63rd Dr, Rego Park, NY 11374-2243 | 2010-03-30 |
| 1548431919 | Nabat Medical PC | Internal Medicine | 9712 63rd Dr, Suite 1b, Rego Park, NY 11374-2243 | 2008-03-13 |
| 1215127170 | Afroz Pervin | Internal Medicine | 9712 63rd Dr, Suite # Ca, Rego Park, NY 11374-2243 | 2007-07-26 |
| 1962582676 | Parviz Rafaelmehr | Internal Medicine | 9712 63rd Dr, Suite 1b, Rego Park, NY 11374-2243 | 2006-10-17 |
| 1629187752 | Choudhury S Hasan | Internal Medicine | 9712 63rd Dr, Suite-ca, Rego Park, NY 11374-2243 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699339150 | Nelly Pinkhasova | Physician Assistant | 9925 62nd Dr, Rego Park, NY 11374-1937 | 2019-04-30 |
| 1366931545 | Ester Fozailov | Physician Assistant | 6607 99th St Apt 5a, Rego Park, NY 11374-4396 | 2018-05-03 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1386195386 | Aleksandr Kazakov | Physician Assistant | 9840 64th Ave Apt 1h, Rego Park, NY 11374-2514 | 2016-10-14 |
| 1598110207 | Chana Meltzer | Physician Assistant | 6468 Austin St, Rego Park, NY 11374-4060 | 2016-05-01 |
| 1528423043 | Natalia K Pak | Physician Assistant | 6244 Woodhaven Blvd, Apt M44, Rego Park, NY 11374-3735 | 2015-12-28 |
| 1508233503 | David Khayim Gulamov | Physician Assistant | 9841 65th Ave, 3d, Rego Park, NY 11374-3450 | 2015-08-25 |
| 1831523505 | Svetlana Kulangiyev | Physician Assistant | 98-05 63 Rd, Rego Park, NY 11374 | 2013-08-29 |
| 1467782672 | Svetlana Ilyasova | Physician Assistant | 6360 98th St Apt D16, Rego Park, NY 11374-2218 | 2010-01-11 |
| 1487755336 | Elina Shalomova | Physician Assistant | 9810 64th Ave Apt 3h, Rego Park, NY 11374-2502 | 2006-09-25 |
| Find all providers in REGO PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.