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AYLI TAVAKOLY PA-C
NPI 1538090196
Student in an Organized Health Care Education/Training Program in Central Islip, NY

Active since May 25, 2026
225 EASTVIEW DR, CENTRAL ISLIP, NY 11722(631) 665-1600 Get Directions Write a Review

NPPES record last updated: May 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ayli Tavakoly Pa-c NPPES

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

AYLI TAVAKOLY PA-C (NPI 1538090196) is an individual student in an organized health care education/training program in Central Islip, New York and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1538090196
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAYLI TAVAKOLYCredential: PA-C
Location Address225 EASTVIEW DRCentral Islip, NY 11722-4539
Mailing Address72 Forest RowGreat Neck, NY 11024-1939
Phone(631) 665-1600
Sole ProprietorNo
Enumeration DateMay 25, 2026
NPPES CertifiedMay 24, 2026
✔ NPI 1538090196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
225 EASTVIEW DR, Central Islip, NY 11722
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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.

LAUREN KELLY RADECKI PA-C
Physician Assistant
225 EASTVIEW DR
CENTRAL ISLIP, NY 11722
Suffolk County (631) 665-1600
JILLIAN COLCHAMIRO
Physician Assistant
225 EASTVIEW DR
CENTRAL ISLIP, NY 11722
Suffolk County (631) 665-1600
SHANNON KERRIANNE CAMUSO PA-C
Physician Assistant
225 EASTVIEW DR
CENTRAL ISLIP, NY 11722
Suffolk County (631) 665-1600
MIRIAM RAITPORT
Physician Assistant
225 EASTVIEW DR
CENTRAL ISLIP, NY 11722
Suffolk County (000) 000-0000
MARIA KURTH
Physician Assistant
225 EASTVIEW DR
CENTRAL ISLIP, NY 11722
Suffolk County (631) 665-1600
SANDY HU PA-C
Physician Assistant
225 EASTVIEW DR
CENTRAL ISLIP, NY 11722
Suffolk County (347) 335-3953
NICOLE BARRETT
Physician Assistant
225 EASTVIEW DR
CENTRAL ISLIP, NY 11722
Suffolk County (631) 665-1600
MRS. STEPHANIE FRISZ-GIOIA MS, CASACT
Counselor
225 EASTVIEW DR
CENTRAL ISLIP, NY 11722
Suffolk County (631) 913-8655

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 Ayli Tavakoly's NPI number?

The NPI number for Ayli Tavakoly is 1538090196. It was assigned to this individual provider in the NPPES registry on May 25, 2026.

Where is Ayli Tavakoly located?

Ayli Tavakoly practices at 225 Eastview Dr, Central Islip, NY 11722. The listed phone number is (631) 665-1600.

What is Ayli Tavakoly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ayli Tavakoly was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.