SERGUEI JOURAVLEV PA-C
NPI 1699256339
Physician Assistant - Surgical in Bronx, NY
About Serguei Jouravlev Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SERGUEI JOURAVLEV PA-C (NPI 1699256339) is an individual surgical provider in Bronx, New York, licensed in New York (022472) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Serguei Jouravlev Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BRONX, NY 10467
BRONX, NY 10467
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 Serguei Jouravlev's NPI number?
The NPI number for Serguei Jouravlev is 1699256339. It was assigned to this individual provider in the NPPES registry on August 21, 2018.
Where is Serguei Jouravlev located?
Serguei Jouravlev practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-8379.
What is Serguei Jouravlev's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Serguei Jouravlev enrolled in Medicare?
Yes. Serguei Jouravlev is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Serguei Jouravlev was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Serguei Jouravlev, PA-C · NPI 1699256339
Surgical physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since August 21, 2018.
## Identity
- **NPI:** 1699256339 (Entity type: Individual)
- **Enumerated:** August 21, 2018
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 022472 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 111 E 210TH ST, Bronx, NY 10467-2401
- **Phone:** (718) 920-8379
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 21, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1699256339) · Data from the CMS NPPES public registry.