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

Tiffany Suwoto, PA-C

Individual provider Medical Physician Assistant · NPI 1023846243

Tiffany Suwoto, PA-C is a Medical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2024.

Licensed in
NY
In the registry since
2024
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

1468 Madison Ave
New York, NY 10029-6508
Phone: (212) 241-6741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 030967 (NY)

Record details

NPI number1023846243
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024

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