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REGISTERED PHYSICIAN ASSISTANT FIRST ASSIST PC
NPI 1164753182
Physician Assistant - Surgical in Briarwood, NY

Active since January 15, 2010
13876 QUEENS BLVD, 1ST FLOOR, BRIARWOOD, NY 11435(718) 850-6345 Get Directions Write a Review

NPPES record last updated: January 15, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Registered Physician Assistant First Assist Pc NPPES

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

REGISTERED PHYSICIAN ASSISTANT FIRST ASSIST PC (NPI 1164753182) is a healthcare organization registered as a surgical in Briarwood, New York and active in the NPI registry since January 2010. The organization lists Gennadiy Shamalov, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1164753182
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameREGISTERED PHYSICIAN ASSISTANT FIRST ASSIST PC
Location Address13876 QUEENS BLVD, 1ST FLOORBriarwood, NY 11435-2930
Mailing Address14123 Hoover AveBriarwood, NY 11435-1109 · (917) 709-4733
Phone(718) 850-6345
Organization SubpartNo
Authorized OfficialGennadiy ShamalovPhysician Assistant · (917) 709-4733
Enumeration DateJanuary 15, 2010
✔ NPI 1164753182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 008219
13876 QUEENS BLVD, Briarwood, NY 11435
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIC GOLDBERG M.D.
Internal Medicine
13876 QUEENS BLVD, 1ST. FLOOR
BRIARWOOD, NY 11435
Queens County (718) 850-6345
DR. DAVID LAKS M.D.
Family Medicine
13876 QUEENS BLVD, 1ST FLOOR
BRIARWOOD, NY 11435
Queens County (718) 850-6345
STAY HEALTHY, NP IN ADULT HEALTH PC
Nurse Practitioner (Adult Health)
13876 QUEENS BLVD, 1ST FLOOR
BRIARWOOD, NY 11435
Queens County (718) 850-6345
MEDICAL CHOICE AND OPTIONS PC
Obstetrics & Gynecology (Gynecology)
13876 QUEENS BLVD, 1ST FLOOR
BRIARWOOD, NY 11435
Queens County (718) 850-6345
COMPLETE MEDICAL NY
Family Medicine
13876 QUEENS BLVD, 1ST FLOOR
BRIARWOOD, NY 11435
Queens County (718) 850-6345
COMPLETE MEDICAL NY, PC
Internal Medicine
13876 QUEENS BLVD, 1ST FLOOR
BRIARWOOD, NY 11435
Queens County (718) 850-6345
COMPLETE MEDICAL PC
Family Medicine (Adult Medicine)
13876 QUEENS BLVD, 1ST FLOOR
BRIARWOOD, NY 11435
Queens County (718) 850-6345
HEALTH CARE FOR ALL, NP IN ADULT HEALTH, P.C.
Clinic/Center (Community Health)
13876 QUEENS BLVD, 1ST FLOOR
BRIARWOOD, NY 11435
Queens County (718) 850-6345

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 Registered Physician Assistant First Assist PC's NPI number?

The NPI number for Registered Physician Assistant First Assist PC is 1164753182. It was assigned to this organization in the NPPES registry on January 15, 2010.

Where is Registered Physician Assistant First Assist PC located?

Registered Physician Assistant First Assist PC is located at 13876 Queens Blvd 1st Floor, Briarwood, NY 11435. The listed phone number is (718) 850-6345.

What is Registered Physician Assistant First Assist PC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Registered Physician Assistant First Assist PC was last updated on January 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.