Alexandra Mirzayeva, RPA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

008053-1 Issued in NY

Practice address

7901 Broadway
Elmhurst, NY 11373-1329

Phone

(917) 605-4950

NPI assigned

Nov 10, 2008

Sex

Female

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

State licenses

Practice roles

Locations

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.

• Avishai T Neuman MD PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1033492855
  NPD
• Nassau County SH Medical PC

  • Pain Medicine Physician
  • Brooklyn, NY
  • NPI 1457910374
  NPD

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1871747451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-01 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "917-605-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "917-605-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAYEVA",
        "first_name": "ALEXANDRA",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008053-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Mikhael, DDS
• Alexander Mikhailov, D.D.S
• Ivonne Aracelly Minching, DDS
• Jenny Sulenia Mirabal, M.D.
• Louella M Miranda, MD
• Richard Arthur Mitchell, MD
• Serge A Mitelman, MD
• Dhara Isa Moddel, LMSW
• Vanita S. Modi, M.D.
• Alicia A Mohamed, NP

• Medical Physician Assistant in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.