Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cristian D Erazo Villa, PA-C

Individual provider Medical Physician Assistant · NPI 1255928008

Cristian D Erazo Villa, PA-C is a Physician Assistant in Astoria, New York. Qualified in 2020, 6 years ago. Practices with Rutgers Health-Rwj Neurosurgery Faculty, a 192-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
6
Licensed in
NJ, NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2510 30th Ave
Astoria, NY 11102-2448
Phone: (718) 932-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 25MP00603700 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 026131 (NY)

Record details

NPI number1255928008
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedDecember 28, 2020
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rutgers Health-Rwj Neurosurgery Faculty — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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