Raji Chopra | Staten Island, NY • PECOS Search

Raji Chopra

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000 (718) 775-0219

PECOS Enrollment

Based on the most recent information from CMS, provider Raji Chopra does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1104097492
Provider Type
Individual
Full Name
Chopra, Raji
Gender
Female

Sole Proprietor
No
Enumeration Date
3/14/2008
Last Updated
3/14/2008

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

Unlisted Fax

Mailing Location

654 Maple Ave, Elizabeth, NJ 07202-2608

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 012446 New York