MR. RUSSELL JAVIER PA-C
NPI 1306965702
Physician Assistant - Surgical in Brooklyn, NY

Active since March 28, 2007PECOS Enrolled
4802 10TH AVENUE, DEPARTMENT OF ORTHOPAEDICS, BROOKLYN, NY 11219(718) 283-7400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Physician Assistant
  • Surgical
  • PECOS Enrolled

About RUSSELL JAVIER

This page provides the complete NPI Profile along with additional information for Russell Javier, a provider established in Brooklyn, New York with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1306965702 assigned on March 2007. The practitioner's primary taxonomy code is 363AS0400X with license number 007188-1 (NY). The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1306965702 Verify this NPI
Provider Name
MR. RUSSELL JAVIER PA-C
Gender
Male
Entity Type
Individual
Location Address
4802 10TH AVENUE DEPARTMENT OF ORTHOPAEDICS BROOKLYN, NY 11219
Location Phone
(718) 283-7400
Mailing Address
138 OGORMAN AVE STATEN ISLAND, NY 10306
Mailing Phone
(718) 987-9445
Is Sole Proprietor?
Yes
Enumeration Date
03-28-2007
Last Update Date
07-08-2007
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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 Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
007188-1
License State
NY

Medicare Participation & PECOS Enrollment Status

Russell Javier 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

Reviews for MR. RUSSELL JAVIER PA-C

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pediatrics
4802 10TH AVENUE
BROOKLYN, NY 11219
Pediatrics
4802 10TH AVENUE
BROOKLYN, NY 11219
Physician Assistant (Surgical)
4802 10TH AVENUE
BROOKLYN, NY 11219
Emergency Medicine (Emergency Medical Services)
4802 10TH AVENUE
BROOKLYN, NY 11219
Pharmacist
4802 10TH AVENUE
BROOKLYN, NY 11219
Internal Medicine (Cardiovascular Disease)
4802 10TH AVENUE, CARDIOLOGY K-1
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Nurse Practitioner
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Family Medicine
4802 10TH AVENUE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Dentist
4802 10TH AVENUE
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Student in an Organized Health Care Education/Training Program
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Emergency Medicine
4802 10TH AVENUE, MAIMONIDES MEDICAL CENTER
BROOKLYN, NY 11219
Registered Nurse
4802 10TH AVENUE
BROOKLYN, NY 11219
Nurse Practitioner (Neonatal)
4802 10TH AVENUE
BROOKLYN, NY 11219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306965702, enumerated as an "individual" on March 28, 2007.

The provider is located at 4802 10TH AVENUE DEPARTMENT OF ORTHOPAEDICS BROOKLYN, NY 11219 and the phone number is (718) 283-7400.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.