HELLENA RAFAILOV


Address: 1050 Clove Rd, Staten Island, NY 10301-3627
Phone: 7188166440

HELLENA RAFAILOV (NPI# 1972829133) 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) 1972829133
Entity Type Individual
Full Name HELLENA RAFAILOV
Credential PA
Practice Address 1050 Clove Rd
Staten Island
NY 10301-3627
Mailing Address 441 9th Ave
Credentialing 3rd Fl
New York
NY 10001-1623
Practice Telephone 7188166440
Practice Fax Number 7188163115
Mailing Telephone 6466802894
Mailing Fax Number 5165425556
Enumeration Date 2010-04-13
Last Update Date 2015-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 013910-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03555653 05

Office Location

Street Address 1050 CLOVE RD
City STATEN ISLAND
State NY
Zip Code 10301-3627

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538152681 Alma Janet Olivos-asarian Ophthalmology 1050 Clove Rd, Staten Island, NY 10301-3627 2005-08-24
1609399344 Jean Ellen Tepelmann Nurse Practitioner 1050 Clove Rd, Staten Island, NY 10301-3627 2017-07-25
1912445644 Barbara A Casuso Nurse Practitioner 1050 Clove Rd, Staten Island, NY 10301-3627 2017-02-01
1063954113 Advantagecare Physicians PC Family Medicine 1050 Clove Rd, Ucc, Staten Island, NY 10301-3627 2016-11-07
1144678954 Staten Island Physician Practice PC Family Medicine 1050 Clove Rd, Staten Island, NY 10301-3627 2016-06-02
1801275375 Peter De Cesare Respiratory Therapist, Registered 1050 Clove Rd, Staten Island, NY 10301-3627 2015-05-29
1518344365 Mirjeta Abazaga Optometrist 1050 Clove Rd, Staten Island, NY 10301-3627 2015-04-30
1336532126 Shirley Vincent Nurse Practitioner 1050 Clove Rd, Staten Island, NY 10301-3627 2015-03-18
1609267707 Princy Mary Paulose Physician Assistant 1050 Clove Rd, Staten Island, NY 10301-3627 2015-02-10
1992102644 Danielle Decesare Physician Assistant 1050 Clove Rd, Staten Island, NY 10301-3627 2014-11-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417586397 Maria Duncan Registered Nurse Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 2020-04-03
1659835569 Ipark Podiatry P.C. Podiatrist 970 Bard Avenue, Staten Island, NY 10301 2019-01-24
1386149789 Dana Gioia Specialist 215 Hart Blvd Apt 5a, Staten Island, NY 10301 2018-03-27
1710404850 Physical Therapy Unlimited Preferred Provider Organization 684 Ocean Terrace, Staten Island, NY 10301 2017-08-29
1356885438 Jessica Glassman Social Worker 10 Dobbs Pl, Staten Island, NY 10301 2016-12-08
1679016372 Amelia Rella Speech-Language Pathologist 60 Foote Ave, Staten Island, NY 10301 2016-11-29
1457714958 Philip Kaplan Dentist 155 Bay Street, Unit C3, Staten Island, NY 10301 2016-04-01
1104284777 Marie G Joseph Social Worker 2381 Hyland Blvd, Staten Island, NY 10301 2016-02-10
1700262565 Courtney Pryor Speech-Language Pathologist 57 Westbury Avenue, Staten Island, NY 10301 2015-08-04
1710377999 Jessica Maldarelli Speech-Language Pathologist 91 Henderson Avenue, Staten Island, NY 10301 2015-01-27
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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
1033716238 Alena Rakhman Physician Assistant 4118 Amboy Rd, Staten Island, NY 10308-2318 2020-10-01
1518574078 Dana Marie Tedesco Physician Assistant 403 Kissel Ave, Staten Island, NY 10301-2600 2020-09-29
1275155277 Nicole Deluzio Physician Assistant 332 Brighton St, Staten Island, NY 10307-1708 2020-05-12
1497377667 Alexandra Ferro Physician Assistant 150 Colon Ave, Staten Island, NY 10308-1405 2020-05-11
1083236434 Marisa Dimare Physician Assistant 700 Jewett Ave, Staten Island, NY 10314-2808 2020-05-08
1861013625 Danielle Alexandra Crespo Physician Assistant 8 Reading Ave, Staten Island, NY 10312-2021 2020-05-04
1194359257 Brandon J Rego Physician Assistant 224 Slater Blvd, Staten Island, NY 10305-3241 2020-02-27
1447897210 Anthony Joseph Lazzaro Physician Assistant 14 Luna Cir, Staten Island, NY 10312-6047 2019-11-29
1770127664 Jocelyn Philip Physician Assistant 158 Livingston Ave, Staten Island, NY 10314-5131 2019-11-04
1295379303 Dhiwya Alex Physician Assistant 61 Delafield Pl, Staten Island, NY 10310-1675 2019-10-31
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Competitor

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City STATEN ISLAND
Zip Code 10301

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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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