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

Orlando Xavier Rivera, PA-C

Individual provider Physician Assistant · NPI 1497690218

Orlando Xavier Rivera, PA-C is a Physician Assistant in Brooklyn, New York. Qualified in 2025, 1 year ago. Practices with Prominis Medical Services PC, a 42-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2026
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

297 Marcus Garvey Blvd
Brooklyn, NY 11221-1114
Phone: (718) 453-9377
Fax: (718) 802-1113
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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 035506-01 (NY)

Record details

NPI number1497690218
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Prominis Medical Services Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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