KRISTINA BADALOVA PHYSICIAN ASSISTANT
NPI 1093968505
Physician Assistant - Medical in Astoria, NY
About Kristina Badalova Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINA BADALOVA PHYSICIAN ASSISTANT (NPI 1093968505) is an individual medical provider in Astoria, New York, licensed in New York (012433) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristina Badalova Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kristina Badalova's NPI number?
The NPI number for Kristina Badalova is 1093968505. It was assigned to this individual provider in the NPPES registry on October 28, 2008.
Where is Kristina Badalova located?
Kristina Badalova practices at 4904 19th Ave, Astoria, NY 11105. The listed phone number is (347) 774-7000.
What is Kristina Badalova's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kristina Badalova enrolled in Medicare?
Yes. Kristina Badalova is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kristina Badalova was last updated on June 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kristina Badalova, PHYSICIAN ASSISTANT · NPI 1093968505
Medical physician in Astoria, New York. Individual provider, active in the CMS NPPES registry since October 28, 2008.
## Identity
- **NPI:** 1093968505 (Entity type: Individual)
- **Enumerated:** October 28, 2008
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 012433 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4904 19TH AVE, Astoria, NY 11105-1002
- **Phone:** (347) 774-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 25, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1093968505) · Data from the CMS NPPES public registry.