MR. ANDREW XAVIER DEOLIVEIRA


Address: 1300 Union Tpke, Suite 108, New Hyde Park, NY 11040-1759
Phone: 5164882743

MR. ANDREW XAVIER DEOLIVEIRA (NPI# 1750327623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750327623
Entity Type Individual
Full Name MR. ANDREW XAVIER DEOLIVEIRA
Credential RPA-C
Practice Address 1300 Union Tpke
Suite 108
New Hyde Park
NY 11040-1759
Mailing Address 257 Roselle St
Mineola
NY 11501-2125
Practice Telephone 5164882743
Practice Fax Number 5164886249
Mailing Telephone 5167467960
Enumeration Date 2006-06-21
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
010737 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1300 UNION TPKE
SUITE 108
City NEW HYDE PARK
State NY
Zip Code 11040-1759

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124029434 Charles Bruno Obstetrics & Gynecology 1300 Union Tpke, New Hyde Park, NY 11040-1759 2005-08-09
1699215335 Mental Health Counseling Wellness Services Pllc Counselor 1300 Union Tpke, Suite 308, New Hyde Park, NY 11040-1764 2017-02-28
1891180212 Fabiola Milord, Dds, Mph, Pllc Preferred Provider Organization 1300 Union Tpke, Suite 101, New Hyde Park, NY 11040-1764 2015-04-02
1992103352 Precision Pain Care and Rehabilitation P.C. Pain Medicine 1300 Union Tpke, Suite 203, New Hyde Park, NY 11040-1764 2014-12-16
1194035584 D.k. Held, M.d., P.C. Surgery 1300 Union Tpke, New Hyde Park, NY 11040-1759 2010-10-19
1679897631 Frank A Evanov Md PC Internal Medicine 1300 Union Tpke, New Hyde Park, NY 11040-1759 2010-03-19
1962733782 Ruthie Rapaport Anfang Audiologist 1300 Union Tpke, 103a, New Hyde Park, NY 11040-1759 2010-01-18
1669701512 Samuel Fox Medical Doctor PC Anesthesiology 1300 Union Tpke, New Hyde Park, NY 11040-1759 2009-12-23
1417282658 Joseph Fierstein Md PC Internal Medicine 1300 Union Tpke, Suite 305, New Hyde Park, NY 11040-1759 2009-10-06
1154555407 Sujata Prasad Dentist 1300 Union Tpke, Suite - 106, New Hyde Park, NY 11040 2009-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598366734 Naurin Shaki Case Management 108 Bryant Ave, New Hyde Park, NY 11040 2020-11-04
1326645920 Oksana Isakharov Marriage & Family Therapist Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 2020-10-06
1639784036 Michelle Edith Narain Nurse Practitioner 270-05 76th Aveune, New Hyde Park, NY 11040 2020-09-11
1124636188 Shannon Maureen O'connell Physician Assistant 270-05 270th Ave, New Hyde Park, NY 11040 2020-07-16
1851929384 Hollie Brown Student in an Organized Health Care Education/Training Program 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 2020-03-30
1780211797 Miriam Tarrash Student in an Organized Health Care Education/Training Program Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 2020-03-27
1902438971 Kristina Petrich Student in an Organized Health Care Education/Training Program Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 2020-02-07
1528622735 David Olatunji Omole Dentist 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 2019-04-24
1720642093 Thanzina Chowdhury Pharmacy 271-11 76th Ave, Queens, NY 11040 2019-04-23
1427519834 Connor William Crowley Student in an Organized Health Care Education/Training Program Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 2019-03-28
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396023511 Merin M Thomas Physician Assistant 5 Nortema Ct, New Hyde Park, NY 11040-2031 2011-07-22
1750672556 Sundeep Kaur Singh Physician Assistant 3 Sperry Ct, New Hyde Park, NY 11040-3819 2011-04-27
1013002104 Matthew L. Shebes Physician Assistant Long Island Jewish Medical Center-department of Surgery, 270-05, 76 Ave, New Hyde Park, NY 11042 2006-10-04
1912518184 Jonathan Phua Physician Assistant 3003 New Hyde Park Rd, New Hyde Park, NY 11042-1206 2020-08-12
1538717103 Etinosa Otagho Physician Assistant 27005 76th Ave, New Hyde Park, NY 11040-1496 2019-08-27
1619457967 Kelly Madeline Lynch Physician Assistant 2800 Marcus Ave, New Hyde Park, NY 11042-1113 2018-08-16
1275039141 Joan Claire Zimmeck Physician Assistant 3003 New Hyde Park Rd Ste 309, New Hyde Park, NY 11042-1214 2018-04-01
1487167094 Ruth Sarai Walter Physician Assistant 270-05 76th Ave, New Hyde Park, NY 11040-1402 2017-11-06
1740646405 Bindu Abbey Daniel Physician Assistant 27005 76th Ave, New Hyde Park, NY 11040-1402 2016-01-11
1134596810 Dayna Glatzer Physician Assistant 2800 Marcus Ave, New Hyde Park, NY 11042-1113 2015-08-28
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Competitor

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City NEW HYDE PARK
Zip Code 11040

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Dataset Information

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.

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