TATIANA SUVOROV
NPI 1346599420
Physician Assistant - Medical in Revere, MA

Q: What is Tatiana Suvorov's NPI number?

The NPI number for Tatiana Suvorov is 1346599420. It was assigned to this individual provider in the NPPES registry on September 5, 2012. The provider is also known as Tatiana Saunders Pa-C.

Q: What is Tatiana Suvorov'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 Tatiana Suvorov was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 05, 2012

CHA REVERE FAMILY CARE CENTER, 454 BROADWAY, REVERE, MA 02151(781) 485-8222 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 13, 2019, May 27, 2019 (2 updates tracked since 2019).

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About Tatiana Suvorov NPPES

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

TATIANA SUVOROV (NPI 1346599420) is an individual medical provider in Revere, Massachusetts, licensed in Massachusetts (PA6778) and active in the NPI registry since September 2012. She maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1346599420

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameTATIANA SUVOROV

Location AddressCHA REVERE FAMILY CARE CENTER, 454 BROADWAYRevere, MA 02151

Mailing AddressCambridge Health Alliance, 1493 Cambridge StreetCambridge, MA 02139 · (617) 665-1000

Phone(781) 485-8222

Sole ProprietorNo

Enumeration DateSeptember 5, 2012

Last NPPES UpdateJune 13, 20192 updates tracked since enumeration

✔ NPI 1346599420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AM0700X

License✔ Licensed in MA · PA6778

Also ListedPhysician AssistantTaxonomy 363A00000X · License 015788 (NY)

CHA REVERE FAMILY CARE CENTER, Revere, MA 02151

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Other Names 1

Former Name (1)Tatiana Saunders Pa-c

Secondary Practice Location 1

Location 1600 East 233rd StBronx, NY 10466 · Phone (718) 920-9177 · Fax (718) 920-9106

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 Tatiana Suvorov's NPI number?

The NPI number for Tatiana Suvorov is 1346599420. It was assigned to this individual provider in the NPPES registry on September 5, 2012. The provider is also known as Tatiana Saunders Pa-C.

Where is Tatiana Suvorov located?

Tatiana Suvorov practices at Cha Revere Family Care Center 454 Broadway, Revere, MA 02151. The listed phone number is (781) 485-8222.

What is Tatiana Suvorov's specialty?

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

When was this NPI record last updated?

The NPPES record for Tatiana Suvorov was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.