An Physician Assistant PC
NPI 1609456649ActiveOrganization· Physician Assistant· Smithtown, NY
Physician Assistant in Smithtown, New York, registered in NPPES in April 2021. The authorized official on file is Alexander Niyazov, PA, Physician Assistant.
Overview
| NPI | 1609456649 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 13, 2021 |
| Last updated in NPPES | Apr 14, 2021 |
| Certified by provider | Apr 14, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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