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

Elina Cherepanova

Individual provider Physician Assistant · NPI 1922777291

Elina Cherepanova is a Physician Assistant in Forest Hills, New York. Qualified in 2021, 5 years ago. Practices with Kings Medical Family Practice, PC, a 19-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

11620 Queens Blvd
Forest Hills, NY 11375-7055
Phone: (718) 401-1510
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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 026337 (NY)

Record details

NPI number1922777291
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 9, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021
Mailing address1277 E 14th St Apt 210c, Brooklyn, NY 11230-5239

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kings Medical Family Practice, P.C. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Forest Hills