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MR. EMMANUIL DZHURAYEV JR. PA
NPI 1255432175
Physician Assistant - Surgical in Jamaica, NY

Active since September 25, 2006PECOS Enrolled
8268 164TH ST, JAMAICA, NY 11432(718) 883-3225(718) 883-6193 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Emmanuil Dzhurayev Jr. Pa NPPES

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

MR. EMMANUIL DZHURAYEV JR. PA (NPI 1255432175) is an individual surgical provider in Jamaica, New York, licensed in New York (010760) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255432175
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. EMMANUIL DZHURAYEV JR.Credential: PA
Location Address8268 164TH STJamaica, NY 11432-1121
Mailing Address7901 Broadway, Managed Care D101Elmhurst, NY 11373-1329 · (718) 334-1921 · Fax (718) 334-3432
Phone(718) 883-3225
Fax(718) 883-6193
Sole ProprietorNo
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1255432175 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 · 010760
8268 164TH ST, Jamaica, NY 11432
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Other Identifiers 2

Medicaid00246075NY
Medicare ID-Type Unspecified00330231NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Emmanuil Dzhurayev Jr. 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.

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.

MRS. NGA HOANG NGUYEN PHARMACIST
Pharmacist
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3889
SHEILA A KERN PA-C
Physician Assistant (Medical)
8268 164TH ST, ROOM A531
JAMAICA, NY 11432
Queens County (718) 883-4133
WHITNEY WU LCSW
Social Worker
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3573
KANWAL RASHID MD
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4583
MOAZAMA SHAKEEL AHMED
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-4583
DR. ANURITA CHATTERJEE MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
MS. SUZANNE J FORRESTER-LOWE PA
Physician Assistant
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225
DR. GLENNA B RUBIN PSYD
Psychologist (Clinical Child & Adolescent)
8268 164TH ST
JAMAICA, NY 11432
Queens County (718) 883-3225

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 Emmanuil Dzhurayev's NPI number?

The NPI number for Emmanuil Dzhurayev is 1255432175. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Emmanuil Dzhurayev located?

Emmanuil Dzhurayev practices at 8268 164th St, Jamaica, NY 11432. The listed phone number is (718) 883-3225.

What is Emmanuil Dzhurayev's specialty?

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

Is Emmanuil Dzhurayev enrolled in Medicare?

Yes. Emmanuil Dzhurayev is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emmanuil Dzhurayev was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.