MRS. INESSA NATANOV PA
NPI 1164690913
Physician Assistant - Medical in Rego Park, NY

Q: What is Inessa Natanov's NPI number?

The NPI number for Inessa Natanov is 1164690913. It was assigned to this individual provider in the NPPES registry on February 14, 2008. The provider is also known as Mrs. Inessa Munarova Physician Assistant.

Q: What is Inessa Natanov's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Inessa Natanov was last updated on February 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since February 14, 2008PECOS Enrolled

9785 QUEENS BLVD, REGO PARK, NY 11374(718) 261-9100(718) 897-2915 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Inessa Natanov Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. INESSA NATANOV PA (NPI 1164690913) is an individual medical provider in Rego Park, New York, licensed in New York (011968) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164690913

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. INESSA NATANOVCredential: PA

Location Address9785 QUEENS BLVDRego Park, NY 11374-3319

Mailing Address9777 Queens BlvdRego Park, NY 11374-3335 · (718) 261-9100 · Fax (718) 897-2915

Phone(718) 261-9100

Fax(718) 897-2915

Sole ProprietorYes

Enumeration DateFebruary 14, 2008

Last NPPES UpdateFebruary 1, 2012

✔ NPI 1164690913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 011968

9785 QUEENS BLVD, Rego Park, NY 11374

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Other Names 1

Professional Name (2)Mrs. Inessa Munarova Physician Assistant

Other Identifiers 1

Other011968NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Inessa Natanov Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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.

DR. DORA S PINKHASOVA MD

Psychiatry & Neurology (Neurology)