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

Individual provider Physician Assistant · NPI 1699964262

Mr. Alexander Avdashenko, PA-C is a Physician Assistant in New York, New York. Qualified in 2007, 19 years ago. Practices with Century Medical and Dental Center Inc, a 107-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and New York.

Years since qualifying
19
Licensed in
NC, NY
In the registry since
2007
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

100 E 77th St
New York, NY 10021-1883
Phone: (917) 541-5378
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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 0010-14359 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 012117 (NY)

Record details

NPI number1699964262
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 19, 2007
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Century Medical And Dental Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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