AVITAL YAGUDAEV PA
NPI 1164594156
Physician Assistant - Medical in Howard Beach, NY

NPI Status: Active since November 14, 2006

Contact Information

15705 CROSSBAY BLVD
HOWARD BEACH, NY
ZIP 11414
Phone: (718) 845-5252
Fax: (718) 845-6464

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About AVITAL YAGUDAEV

This page provides the complete NPI Profile along with additional information for Avital Yagudaev, a primary care provider established in Howard Beach, New York with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1164594156 assigned on November 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 009742 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1164594156
Provider Name
AVITAL YAGUDAEV PA
Gender
Female
Entity Type
Individual
Location Address
15705 CROSSBAY BLVD HOWARD BEACH, NY 11414
Location Phone
(718) 845-5252
Location Fax
(718) 845-6464
Mailing Address
210 HOWARD ST EAST WILLISTON, NY 11596
Mailing Phone
(917) 658-0100
Is Sole Proprietor?
No
Enumeration Date
11-14-2006
Last Update Date
06-06-2025
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A primary care provider (PCP) like Avital Yagudaev sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
009742
License State
NY

Medicare Participation & PECOS Enrollment Status

Avital Yagudaev is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 11 times for 11 patients

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164594156, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 0 + 9 + 8 + 1 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1164594156.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Pharmacy
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Acupuncturist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Physical Therapist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Pharmacist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Pharmacist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Chiropractor
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Pharmacist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Pharmacist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Pharmacist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Pharmacist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Pharmacist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Chiropractor
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Physical Therapist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Clinic/Center (Physical Therapy)
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Pharmacist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Nurse Practitioner (Family)
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Pharmacist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Pharmacist
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414
Nurse Practitioner (Family)
15705 CROSSBAY BLVD
HOWARD BEACH, NY 11414

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164594156, enumerated as an "individual" on November 14, 2006.

The provider is located at 15705 CROSSBAY BLVD HOWARD BEACH, NY 11414 and the phone number is (718) 845-5252.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.