Uzma Afzal, P.A
Individual provider Active NPI Physician Assistant · Staten Island, NY
NPI 1780924142 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1780924142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 016347-1 (NY)
- Practice address
- 2066 Richmond Ave
Staten Island, NY 10314-3960 - Phone
- (718) 982-9001
- Fax
- (718) 982-9008
- NPI assigned
- Feb 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220930000859 | NY | Practitioner - Physician Assistant | 7113303066 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016347 | NY | MD | Occupational Therapist |
| 016347-1 | NY | MD | Physician Assistant |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 016347-1 | NY | Yes |
Addresses
Primary practice location
2066 Richmond Ave
Staten Island, NY 10314-3960
Mailing address
2066 Richmond Ave
Staten Island, NY 10314-3960
Phone (718) 982-9001
Other practice location 1
2066 Richmond Ave
Staten Island, NY 10314-3960
Phone (718) 982-9001
Other practice location 2
930 E Tremont Ave
Bronx, NY 10460-4363
Phone (718) 620-6068
Other practice location 3
930 E Tremont Ave
Bronx, NY 10460-4363
Phone (718) 620-6068
Other providers in Staten Island, NY
- Tinuke Afolabi
- Richard Mark Africk
- Sadia Afroz
- Erfan Afshar
- Cyril Cheuck Afuh
- Ag Physical Therapy PC
- Amira Agamy
- Agape Life and Health, LLC
- Agape Life Health NP in Psychiatry and Family Health PLLC
- Daniel Agarunov
All providers in Staten Island, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.