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AN PHYSICIAN ASSISTANT PC
NPI 1609456649
Physician Assistant in Smithtown, NY

Active since April 13, 2021
6 COLONY CT, SMITHTOWN, NY 11787(631) 255-9551 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About An Physician Assistant Pc NPPES

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

AN PHYSICIAN ASSISTANT PC (NPI 1609456649) is a healthcare organization registered as a physician assistant in Smithtown, New York and active in the NPI registry since April 2021. The organization lists Alexander Niyazov, Physician Assistant, as its authorized official.

NPPES Registry Identity

NPI1609456649
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameAN PHYSICIAN ASSISTANT PC
Location Address6 COLONY CTSmithtown, NY 11787-2507
Mailing Address6 Colony CtSmithtown, NY 11787-2507
Phone(631) 255-9551
Organization SubpartNo
Authorized OfficialAlexander NiyazovPhysician Assistant · (631) 255-9551
Enumeration DateApril 13, 2021
Last NPPES UpdateApril 14, 2021
NPPES CertifiedApril 14, 2021
✔ NPI 1609456649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
6 COLONY CT, Smithtown, NY 11787
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 An Physician Assistant PC's NPI number?

The NPI number for An Physician Assistant PC is 1609456649. It was assigned to this organization in the NPPES registry on April 13, 2021.

Where is An Physician Assistant PC located?

An Physician Assistant PC is located at 6 Colony Ct, Smithtown, NY 11787. The listed phone number is (631) 255-9551.

What is An Physician Assistant PC'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 An Physician Assistant PC was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.