MRS. EUJENIA MOMCHILOVA DARAKCHIEVA


Address: 1175 Montauk Hwy, Suite 3, West Islip, NY 11795-4939
Phone: 6316691171

MRS. EUJENIA MOMCHILOVA DARAKCHIEVA (NPI# 1922399757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922399757
Entity Type Individual
Full Name MRS. EUJENIA MOMCHILOVA DARAKCHIEVA
Credential PA-C
Practice Address 1175 Montauk Hwy
Suite 3
West Islip
NY 11795-4939
Practice Telephone 6316691171
Practice Fax Number 6316691912
Mailing Telephone 6316691171
Mailing Fax Number 6316691912
Enumeration Date 2011-04-27
Last Update Date 2011-04-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 010842 NY Physician Assistants & Advanced Practice Nursing Providers
N 363AM0700X Physician Assistant
Specialization: Medical
010842 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1175 MONTAUK HWY
SUITE 3
City WEST ISLIP
State NY
Zip Code 11795-4939

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154309037 Rajkumar G Mariwalla Internal Medicine 1175 Montauk Hwy, Suite #3, West Islip, NY 11795-4939 2006-01-02
1669014197 Amit Sharma Md PC Pain Medicine 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 2019-10-16
1811548142 Eric Fanaee Md PC Pain Medicine 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 2019-09-27
1609423821 Kelly Heraghty Nurse Practitioner 1175 Montauk Hwy, West Islip, NY 11795-4939 2019-08-22
1669943510 Carolann Sutherland Physician Assistant 1175 Montauk Hwy, West Islip, NY 11795-4939 2018-12-17
1841717618 George Kakoulides Md PC Neurological Surgery 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 2017-08-23
1457741035 Rajesh Mariwalla, Md PC Pediatrics 1175 Montauk Hwy, Suite 4, West Islip, NY 11795-4939 2015-02-03
1346656105 Long Island Neurosurgical & Pain Specialists, Pllc Anesthesiology 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 2014-07-01
1972914596 Nassau-suffolk Medical Services, P.C. Anesthesiology 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 2014-05-16
1306165949 Diana Besleaga Anesthesiology 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 2010-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639790843 Aparna Kaleeckal Rajalakshmi Student in an Organized Health Care Education/Training Program 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 2020-04-28
1164087375 South Shore Medical Services Pllc Physician Assistant 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 2019-05-02
1841656030 Asnis Dental Pllc Dentist 440 Montauk Highway, West Islip, NY 11795 2016-01-05
1376913731 Erik Walter Physician Assistant 434 Union Blvd, West Islip, NY 11795 2015-09-29
1902202302 Cathleen Degarmo Specialist 524 Everdell Ave, West Islip, NY 11795 2014-11-12
1902201098 Caitlin Henderson Nurse Practitioner 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 2014-10-31
1497182752 Alyssa C Cervini Social Worker 145 Higbie Ln, West Islip, NY 11795 2013-10-02
1174966485 John George Egner Specialist 1 Kennedylane, W Islip, NY 11795 2013-04-17
1902155369 Timothy George M.d., P.C. Pediatrics 239 Higbie Lane, West Islip, NY 11795 2012-08-31
1124387824 Dawn Marie Coughlin Speech-Language Pathologist 50 Cedar Point Drive, West Islip, NY 11795 2012-05-15
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194238352 Chelsea Papocchia Physician Assistant 341 Martin Dr, West Islip, NY 11795-2003 2017-11-09
1356867808 Charles Vollmoeller Physician Assistant 1111 Montauk Hwy Ste 3, West Islip, NY 11795-4910 2017-08-16
1396287819 Christopher David Alleva Physician Assistant 148 Sunrise Hwy, West Islip, NY 11795-2012 2016-11-15
1376913731 Erik Walter Physician Assistant 434 Union Blvd, West Islip, NY 11795 2015-09-29
1316253750 Gina Marie Beltrami Physician Assistant 108 Higbie Lane, West Islip, NY 11795 2010-08-23
1972736429 Rosemary A. Verow-freitag Physician Assistant 556 Montauk Hwy., West Islip, NY 11795-4407 2009-09-01
1730363482 Steven Matthew Ferrante Physician Assistant 367 W 2nd St, West Islip, NY 11795-2430 2007-12-18
1962440834 Charles Levinson Physician Assistant 340 Montauk Hwy, West Islip, NY 11795-4437 2006-06-03
1437762325 Joanna Frances Tanzman Physician Assistant 1111 Montauk Hwy, West Islip, NY 11795-4910 2020-08-28
1922643501 Amanda Capizzi Physician Assistant 786 Montauk Hwy, West Islip, NY 11795-4926 2019-11-07
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Competitor

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City WEST ISLIP
Zip Code 11795

Improve Information

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Dataset Information

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.

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