Individual provider Active NPI

Svetoslava Venelinova Bardarova, PA-C

  • Medical Physician Assistant
  • New York, NY
National Provider Identifier
1841224094
Registry record updated Jun 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
012946 Issued in NY
Practice address
17 E 102 Street , 5TH Floor
Feinstein Ibd Center
New York, NY 10029
Phone
(212) 241-8100
Fax
(646) 537-8921
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 012946 NY Primary

Addresses

Primary practice location

17 E 102 Street , 5TH Floor
Feinstein Ibd Center
New York, NY 10029

Mailing address

Feinstein Ibd Center- 17 E 102 ND Street
Floor 5
New York, NY 10029
Phone (212) 241-8100

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090507000278 NY Practitioner - Physician Assistant 7618971656 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Oct 1, 2015 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 1, 2015 Accepting new patients

Locations

525 E 68th St
Rm J314
New York, NY 10065
Phone (212) 746-4158

1315 York Ave
New York, NY 10021
Phone (212) 746-5077

525 E 68th St
#M
New York, NY 10065
Phone (212) 746-2850

Networks

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

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717286400000",
    "number": "1841224094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FEINSTEIN IBD CENTER- 17 E 102 ND STREET",
            "address_2": "FLOOR 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-8100",
            "fax_number": "646-537-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 102 STREET , 5TH FLOOR",
            "address_2": "FEINSTEIN IBD CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-8100",
            "fax_number": "646-537-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARDAROVA",
        "first_name": "SVETOSLAVA",
        "middle_name": "VENELINOVA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-06-02",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.