MARINA YUSUPOV (NPI# 1851729735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851729735 |
| Entity Type | Individual |
| Full Name | MARINA YUSUPOV |
| Credential | PA-C |
| Practice Address |
11239 68th Ave Forest Hills NY 11375-2937 |
| Practice Telephone | 9174422439 |
| Mailing Telephone | 9174422439 |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2013-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 016801 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649633090 | Marina Yusupov | Student in an Organized Health Care Education/Training Program | 585 Schenectady Ave, K4, Brooklyn, NY 11203-1822 | 2016-04-02 |
| Street Address |
11239 68TH AVE |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-2937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| 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 |
|---|---|---|---|---|
| 1669006508 | Leah Nicole De Jesus | Physician Assistant | 9106 68th Ave, Forest Hills, NY 11375-5724 | 2020-03-01 |
| 1114577004 | Jing Lin | Physician Assistant | 7011 Harrow St, Forest Hills, NY 11375-5153 | 2019-09-13 |
| 1811431737 | Regina Ozimek | Physician Assistant | 10304 Metropolitan Ave, Forest Hills, NY 11375-6734 | 2016-12-12 |
| 1902295470 | Roza Murdakhayeva | Physician Assistant | 10220 67th Dr Apt 201, Forest Hills, NY 11375-2807 | 2015-01-21 |
| 1639591522 | David Lomasney | Physician Assistant | 11007 73rd Rd, Apt 4f, Forest Hills, NY 11375-6301 | 2014-01-10 |
| 1871841874 | Kristine Maria Mazzo | Physician Assistant | 39 Winter St, Forest Hills, NY 11375-6037 | 2012-08-22 |
| 1841561248 | Milana Badalov | Physician Assistant | 6515 Yellowstone Blvd Apt 2g, Forest Hills, NY 11375-1746 | 2012-01-18 |
| 1003062829 | Edwish Marie Adrien | Physician Assistant | 10229 Queens Blvd, Attn: Credentialing, Forest Hills, NY 11375-3258 | 2008-08-12 |
| 1205003399 | Navpreet Shah | Physician Assistant | 11025 63rd Rd, Forest Hills, NY 11375-1426 | 2008-05-08 |
| 1164480844 | Zina Goldvekht | Physician Assistant | 6405 Yellowstone Blvd, Cfu 101, Forest Hills, NY 11375-1530 | 2006-05-03 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
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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.