Serguei Jouravlev, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

022472 Issued in NY

Practice address

111 E 210TH St
Bronx, NY 10467-2401

Phone

(718) 920-8379

NPI assigned

Aug 21, 2018

Sex

Male

Sole proprietor

No

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

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

Interoperability endpoints

• Direct secure messaging: sergueijouravlev@ossm.allscriptsdirect.net
• Direct secure messaging: sjouralev992859@nychhc.direct-ci.com

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.

• Bronxcare Health System

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1245390855
  Medicare reassignment
• Bronxcare Health System

  • Neurological Surgery Physician
  • Bronx, NY
  • NPI 1578613782
  NPD
• Bronxcare Health System

  • Methadone Clinic
  • Bronx, NY
  • NPI 1801428222
  NPD
• Orthopaedics Spine and Sports Medicine, LLC

  dba Total Orthopaedics and Sports Medicine

  • Durable Medical Equipment & Medical Supplies
  • Syosset, NY
  • NPI 1073096590
  NPD
• Orthopaedics Spine and Sports Medicine LLC

  dba Total Orthopaedics and Sports Medicine, LLP

  • Orthopaedic Surgery Physician
  • Syosset, NY
  • NPI 1548490063
  NPD (past)

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1699256339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 ROSLYN DR",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115451733",
            "telephone_number": "704-779-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOURAVLEV",
        "first_name": "SERGUEI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "022472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanthimathi Jothianandan, MD
• Lia Maria Joubert Garcia, MD
• Natasha Nazeera Jouk, MD
• Sihyun Joung
• George Jour, M.D.
• Maria Angelina Jouvin-Castro, M.D.
• Milica Jovanovic, M.D.
• Nikola Jovanovic, M.D.
• Joyce Leung Lilly Acupuncture (Joyce Acupuncture NYC)
• Kathryn Rose Joyce-Lamarca, MS,OTR/L

• Surgical Physician Assistant in Bronx, NY
• Providers in Bronx, 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 Aug 21, 2018; 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.