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

Individual provider Emergency Medicine Physician · NPI 1508694852

Elijah Colon, PA-C is a Physician Assistant in New York, New York. Graduated from San Juan Bautista School of Medicine in 2024, 2 years ago. Practices with Physician Affiliate Group of New York PC, a 1,224-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Trained at
San Juan Bautista School of Medicine
Licensed in
NY
In the registry since
2024
Specialties on file
3
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

1901 1st Ave
New York, NY 10029-7494
Phone: (212) 423-6466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 032167 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 032167 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 032167 (NY)

Record details

NPI number1508694852
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2024
Last updated in NPPESJuly 26, 2024
Certification dateJuly 26, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSAN JUAN BAUTISTA SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Physician Affiliate Group Of New York Pc — 1224 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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