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

Mrs. Brenda Yvette Collazos Moran

Individual provider Physician Assistant · NPI 1144021072

Mrs. Brenda Yvette Collazos Moran is a Physician Assistant in Jackson Heights, New York. Graduated from City University of New York School of Medicine in 2025, 1 year ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Trained at
City University of New York School of Medicine
Licensed in
NY
In the registry since
2025

Practice location Address checks out

7206 Northern Blvd Fl 2
Jackson Heights, NY 11372-1049
Phone: (866) 670-6824
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 033600 (NY)

Record details

NPI number1144021072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 24, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Jackson Heights