Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cheryl Blaivas, PA

Individual provider Physician Assistant · NPI 1437817319

Cheryl Blaivas, PA is a Physician Assistant in Central Islip, New York. Qualified in 2022, 4 years ago. Practices with Mill Basin Medical Health PC, a 101-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

225 Eastview Dr
Central Islip, NY 11722-4539
Phone: (631) 665-1600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1437817319
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 7, 2021
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address23 White Dr, Cedarhurst, NY 11516-2607

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mill Basin Medical Health Pc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations23 on file with Medicare

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