Active NPI
Eleanor Nouvahian, PA
- Medical Physician Assistant
- Great Neck, NY
National Provider Identifier
1871197392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 026008
- Practice address
- 935 Northern Blvd Ste 105
Great Neck, NY 11021-5309 - Phone
- (516) 487-0070
- NPI assigned
- Nov 24, 2020
- Last updated
- Nov 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 026008 | NY | Primary |
Addresses
Primary practice location
935 Northern Blvd Ste 105
Great Neck, NY 11021-5309
Mailing address
7 Paddock CT
Glen Head, NY 11545-2918
Phone (516) 732-6881
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 |
|---|---|---|---|
| 026008 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606176000000",
"number": "1871197392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 PADDOCK CT",
"city": "GLEN HEAD",
"state": "NY",
"postal_code": "115452918",
"telephone_number": "516-732-6881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 NORTHERN BLVD STE 105",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110215309",
"telephone_number": "516-487-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOUVAHIAN",
"first_name": "ELEANOR",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "026008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Neck, NY
- Northland Hearing Center, Inc. (GB Audiology)
- Northland Hearing Centers, Inc. (Audibel Hearing Center)
- Northshore-Long Island Jewish Health System
- Northwell Health Sleep Lab LLC
- Michelle Nourmand, MD
- Carol Novak, LCSW
- Linda Novick, R.N.
- Alex Novogrudsky, M.D.
- NP Physical Therapy, PC
- Nsuh OB-GYN Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.