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

Minoo Tavazoi

Individual provider Physician Assistant · NPI 1700470614

Minoo Tavazoi is a Physician Assistant in Bronx, New York. Graduated from Mercy College in 2020, 6 years ago. Practices with Island Urgent Care PLLC, a 17-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
Mercy College
In the registry since
2021
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Practice location Address checks out

252 Emerson Ave
Bronx, NY 10465-3115
Phone: (516) 450-1780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1700470614
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 22, 2021
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021
Mailing address252 Emerson Ave, Bronx, NY 10465-3115

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2020 (6 years in practice)
Group practice Island Urgent Care Pllc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bronx