MISS RAPHAELA GASSANOV PA
NPI 1780388454
Physician Assistant - Medical in New York, NY

Q: What is Raphaela Gassanov's NPI number?

The NPI number for Raphaela Gassanov is 1780388454. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Q: What is Raphaela Gassanov'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 Raphaela Gassanov was last updated on March 28, 2023. 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.

Active since March 28, 2023

110 W 14TH ST, NEW YORK, NY 10011(212) 481-3333 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Raphaela Gassanov Pa NPPES

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

MISS RAPHAELA GASSANOV PA (NPI 1780388454) is an individual medical provider in New York, New York, licensed in New York (029741) and active in the NPI registry since March 2023. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1780388454

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMISS RAPHAELA GASSANOVCredential: PA

Location Address110 W 14TH STNew York, NY 10011-7303

Mailing Address1355 E 18th St Apt 6cBrooklyn, NY 11230-7567 · (732) 239-9288

Phone(212) 481-3333

Sole ProprietorNo

Enumeration DateMarch 28, 2023

NPPES CertifiedMarch 28, 2023

✔ NPI 1780388454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363AM0700X

License✔ Licensed in NY · 029741

110 W 14TH ST, New York, NY 10011

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Secondary Practice Locations 2

Location 1332 E 14th StNew York, NY 10003-4243 · Phone (212) 481-3333

Location 2912 Columbus AveNew York, NY 10025-4040 · Phone (212) 481-3333 · Fax (212) 420-5925

Other Providers at the Same Location NPPES 2

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

UNION SQUARE URGENT MEDICAL CARE PC

Emergency Medicine

110 W 14TH ST
NEW YORK, NY 10011

New York County (718) 939-5900

APRIL ANNE CASTILLO M.D.

General Practice

110 W 14TH ST, APT 230
NEW YORK, NY 10011

New York County (212) 242-4333

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 Raphaela Gassanov's NPI number?

The NPI number for Raphaela Gassanov is 1780388454. It was assigned to this individual provider in the NPPES registry on March 28, 2023.

Where is Raphaela Gassanov located?

Raphaela Gassanov practices at 110 W 14th St, New York, NY 10011. The listed phone number is (212) 481-3333.

What is Raphaela Gassanov'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 Raphaela Gassanov was last updated on March 28, 2023. 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.