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Betim Efendija

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

Based on the most recent information from CMS, provider Betim Efendija is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1477904563
Provider Type
Individual
Full Name
Efendija, Betim
Credential
PA-C

Gender
Male
Sole Proprietor
Yes
Enumeration Date
6/29/2016
Last Updated
6/29/2016

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

115 Bay 20th St, Brooklyn, NY 11214-4619

(347) 866-6691

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License Unlisted Issuer

Betim Efendija

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Roberts, Jessica Ann

Johnson, Stelin

Suarez, Michelle

Pallas, Shirly

Frasca, Francesca Marie

Staten Island Faculty Medical Affiliates, University Faculty Practice

Compton, Korrine A

Youssef, Olivia Mary

Gregory, Krista Ann

Martino, Lindsay