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

Individual provider Physician Assistant · NPI 1578868378

Mayline Cordova, PA-C is a Physician Assistant in New York, New York. Graduated from Barry University School of Podiatric Medicine in 2010, 16 years ago. Practices with Vantage Medical Associates PC, a 85-clinician group and accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
16
Trained at
Barry University School of Podiatric Medicine
Licensed in
FL, NY
In the registry since
2011
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

30 Broad St Fl 45
New York, NY 10004-2942
Phone: (954) 967-6550
Fax: (954) 967-8419
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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 024981 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA 9105854 (FL)

Record details

NPI number1578868378
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 26, 2011
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduated 2010 (16 years in practice)
Group practice Vantage Medical Associates Pc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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