Elana Yusupova, P.A.

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

013981 Issued in NY

Practice address

8311 139TH St Apt 1H
Jamaica, NY 11435-1602

Phone

(917) 209-5745

NPI assigned

Apr 19, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

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.

• Wyckoff Hieghts Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1215265988
  NPD (past) Authorized official

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1396061032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 139TH ST APT 1H",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351602",
            "telephone_number": "917-209-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 139TH ST APT 1H",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114351602",
            "telephone_number": "917-209-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSUPOVA",
        "first_name": "ELANA",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "013981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheung Bor Yui, MD
• Igor Yukelis, MD
• Yuriy Khanin MD, P.C.
• Habibat M Yusuf, LMSW
• Michael Yusupov, DDS
• Izabella Yusupova, NP
• Roza Yusupova
• Z Max Pharmacy Inc
• Margaret Zabierek, PTA
• Zafss Inc

• Surgical Physician Assistant in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.