Eduard Yushuvayev, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

011719 Issued in NY

Practice address

4500 Parsons Blvd
Flushing, NY 11355-2205

Phone

(718) 670-5000

NPI assigned

May 22, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Flushing Hospital & Medical Center

  • General Acute Care Hospital
  • Flushing, NY
  • NPI 1548217763
  Medicare reassignment
• Elina Yushuvayev MD, P.C.

  dba Nuface Medical Spa

  • Internal Medicine Physician
  • Bayside, NY
  • NPI 1114547767

  Multi-Specialty

  NPD
• Flushing Hospital Medical Center

  • Skilled Nursing Facility
  • Flushing, NY
  • NPI 1568693174
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1043477318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7339 174TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661424",
            "telephone_number": "718-215-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552205",
            "telephone_number": "718-670-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSHUVAYEV",
        "first_name": "EDUARD",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-22",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE LICENSE",
            "identifier": "011719",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lok Yung, M.D.
• Rebecca Yunusova
• Tamara Yunusova, PHARMD
• Zilpo Yushanayeva
• Angelina Yushuvayev, WHNP-BC
• Rachel Yushuvayev I, OTR/L
• Nina Yushuvayeva, OTR/L
• Fazlul Hamid Yusuf, M.D.
• Nurun Nahar Yusuf, M.D.
• Rafi Yusuf, DO

• Physician Assistant in Flushing, NY
• Providers in Flushing, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.