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NIKITA SHMYRIN
NPI 1477273613
Physician Assistant in Stony Brook, NY

Active since August 29, 2022
21 VALLEY RD, STONY BROOK, NY 11790(516) 595-4252 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nikita Shmyrin NPPES

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

NIKITA SHMYRIN (NPI 1477273613) is an individual physician assistant in Stony Brook, New York, licensed in New York (028767) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1477273613
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNIKITA SHMYRIN
Location Address21 VALLEY RDStony Brook, NY 11790-1615
Mailing Address21 Valley RdStony Brook, NY 11790-1615 · (516) 595-4252
Phone(516) 595-4252
Sole ProprietorNo
Enumeration DateAugust 29, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1477273613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 028767
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
21 VALLEY RD, Stony Brook, NY 11790
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Other Providers at the Same Location NPPES

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

KI SOOK YOO MD
Psychiatry & Neurology (Psychiatry)
21 VALLEY RD
STONY BROOK, NY 11790
Suffolk County (201) 909-9898

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 Nikita Shmyrin's NPI number?

The NPI number for Nikita Shmyrin is 1477273613. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Nikita Shmyrin located?

Nikita Shmyrin practices at 21 Valley Rd, Stony Brook, NY 11790. The listed phone number is (516) 595-4252.

What is Nikita Shmyrin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Nikita Shmyrin was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.