Active NPI
Erilien Cherilus, PA
- Physician Assistant
- Greenacres, FL
National Provider Identifier
1619524535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2112-P.A.
- Practice address
- 714 Sunny Pine Way Apt A1
Greenacres, FL 33415-8972 - Phone
- (561) 460-1254
- NPI assigned
- Aug 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 19-208 | FL | |
| Physician Assistant | 363A00000X | 2112-P.A. | PR | Primary |
Addresses
Primary practice location
714 Sunny Pine Way Apt A1
Greenacres, FL 33415-8972
Mailing address
6514 Spring Meadow Dr
Greenacres, FL 33413-3477
Phone (561) 460-1254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19-208 | FL | MD | Surgical Assistant |
| 2112-P.A. | PR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1619524535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6514 SPRING MEADOW DR",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334133477",
"telephone_number": "561-460-1254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "714 SUNNY PINE WAY APT A1",
"city": "GREENACRES",
"state": "FL",
"postal_code": "334158972",
"telephone_number": "561-460-1254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHERILUS",
"first_name": "ERILIEN",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-26",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "FL",
"license": "19-208",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PR",
"license": "2112-P.A.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenacres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.