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MR. VLADISLAV KUZNETSOV PA
NPI 1972741023
Physician Assistant in Staten Island, NY

Active since January 28, 2009PECOS Enrolled
30 RIDGE LOOP, STATEN ISLAND, NY 10304(917) 836-7374(718) 865-4255 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Vladislav Kuznetsov Pa NPPES

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

MR. VLADISLAV KUZNETSOV PA (NPI 1972741023) is an individual physician assistant in Staten Island, New York, licensed in New York (007745) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972741023
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. VLADISLAV KUZNETSOVCredential: PA
Location Address30 RIDGE LOOPStaten Island, NY 10304-1403
Mailing Address30 Ridge LoopStaten Island, NY 10304-1403 · (917) 836-7374 · Fax (718) 865-4255
Phone(917) 836-7374
Fax(718) 865-4255
Sole ProprietorYes
Enumeration DateJanuary 28, 2009
Last NPPES UpdateOctober 29, 2025
NPPES CertifiedOctober 29, 2025
✔ NPI 1972741023 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 · 007745
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.
30 RIDGE LOOP, Staten Island, NY 10304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Vladislav Kuznetsov Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Vladislav Kuznetsov's NPI number?

The NPI number for Vladislav Kuznetsov is 1972741023. It was assigned to this individual provider in the NPPES registry on January 28, 2009.

Where is Vladislav Kuznetsov located?

Vladislav Kuznetsov practices at 30 Ridge Loop, Staten Island, NY 10304. The listed phone number is (917) 836-7374.

What is Vladislav Kuznetsov's specialty?

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

Is Vladislav Kuznetsov enrolled in Medicare?

Yes. Vladislav Kuznetsov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vladislav Kuznetsov was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.