Individual provider Active NPI

Mihaela Dajdea, PA

  • Physician Assistant
  • Fresh Meadows, NY
National Provider Identifier
1902907850
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
010633 Issued in NY
Practice address
176-60 Union Turnpike, Suite 360
Queens Medical Associates
Fresh Meadows, NY 11366-1531
Phone
(718) 460-2300
Fax
(347) 225-9930
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 010633 NY Primary

Addresses

Primary practice location

176-60 Union Turnpike, Suite 360
Queens Medical Associates
Fresh Meadows, NY 11366-1531

Mailing address

959 Brush Hollow Rd
Musculoscheletal Pain Management
Westbury, NY 11590
Phone (516) 334-8877

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

Other names 1

  • Mihaela Voicu Dajea Former name

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
I20141028000660 NY Practitioner - Physician Assistant 7214158641 Reassigns benefits to 1 organization

National Provider Directory

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1902907850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 BRUSH HOLLOW RD",
            "address_2": "MUSCULOSCHELETAL PAIN MANAGEMENT",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-334-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176-60 UNION TURNPIKE, SUITE 360",
            "address_2": "QUEENS MEDICAL ASSOCIATES",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661531",
            "telephone_number": "718-460-2300",
            "fax_number": "347-225-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAJDEA",
        "first_name": "MIHAELA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIHAELA",
            "last_name": "VOICU DAJEA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresh Meadows, NY

Sources for this page

Verify at the official NPI Registry.