LILIT GEVORGYAN (NPI# 1467900316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467900316 |
| Entity Type | Individual |
| Full Name | LILIT GEVORGYAN |
| Credential | PA-C |
| Practice Address |
111 E 210th St Bronx NY 10467-2401 |
| Mailing Address |
7039 Wortser Ave North Hollywood CA 91605-4811 |
| Practice Telephone | 7189204321 |
| Mailing Telephone | (323) 283-1987 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
53510 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
021058-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5525 Etiwanda Ave, Suite 211, Tarzana, CA 913563647 | 8187571212 | 8187571311 |
| Street Address |
111 E 210TH ST |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619373 | Caletha Dicks | Nurse Anesthetist, Certified Registered | 111 E 210th St, Bronx, NY 10467-2401 | 2005-06-14 |
| 1124629118 | Ali Liakat | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-05 |
| 1225639347 | Michael Boadu | Pharmacist | 111 E 210th St, Bronx, NY 10467-2401 | 2020-11-04 |
| 1770183501 | Michelle Marsalisi | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-30 |
| 1598364606 | Denise Sarah Dailey | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-20 |
| 1619574167 | Amina Khan | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-07 |
| 1043817679 | Farzaneh Hosein Khezri | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-06 |
| 1366049330 | Shafaq Zaman Tarar | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-10-02 |
| 1972110450 | Assi Milwidsky | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-28 |
| 1518574243 | Sudhakar Basetty | Student in an Organized Health Care Education/Training Program | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629574348 | Viresh Ramnarayan | Physician Assistant | 1970 E Tremont Ave Apt 5c, Bronx, NY 10462-5658 | 2018-04-02 |
| 1871948620 | Klementina Koci | Physician Assistant | 3400 Bainbridge Ave Fl Map33, Bronx, NY 10467-2404 | 2016-04-29 |
| 1134503931 | Lindsay Averill | Physician Assistant | 1400 Pelham Pkwy S Ste 1213, Bronx, NY 10461 | 2015-07-13 |
| 1942693486 | Oumou Drame | Physician Assistant | 785 Courtlandt Ave Apt 15c, Bronx, NY 10451-4324 | 2015-03-09 |
| 1477734804 | Dimitra Mitsianis | Physician Assistant | 234 Eugenio Maria De Hostos 149th St, Department of Surgery, Bronx, NY 10451-5504 | 2007-11-14 |
| 1518151885 | Brenda Jean Vecchione | Physician Assistant | 3rd Ave & 183 St., Bronx, NY 10457 | 2007-08-30 |
| 1467597369 | Kwabena Ntiamoah | Physician Assistant | 1276 Fulton Ave. Bronx Lebanon Hospital, Dept. of Psychiatry, 1276 Fulton Ave, Bronx, NY 10456 | 2007-02-20 |
| 1851443311 | Svetlana Tovt | Physician Assistant | 234 E149 Street, Room 6-20, Bronx, NY 10706 | 2007-01-17 |
| 1649335274 | Andrew Walter Douglas | Physician Assistant | 3rd Ave and 183rd Str, Bronx, NY 10457-2594 | 2006-12-26 |
| 1619584612 | Sallee Reynolds Mathews | Physician Assistant | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-09-24 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.