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

Individual provider Physician Assistant · NPI 1598295883

Georges M Princivil, PA is a Physician Assistant in Staten Island, New York. Qualified in 2017, 9 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
9
Licensed in
NJ, NY
In the registry since
2017
Specialties on file
3
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

812 Forest Ave
Staten Island, NY 10310-2446
Phone: (718) 571-9196
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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 023465 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00434900 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00434900 (NJ)

Record details

NPI number1598295883
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 19, 2017
Last updated in NPPESAugust 22, 2020
Certification dateAugust 22, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Staten Island