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Julia Lauren Fisch, PA

Physician Assistant, Surgical in Elmhurst, NY. Individual provider (NPI-1).

NPI number1285571802
StatusActive
Last updated in NPPESMay 1, 2026

Details

NPI
1285571802
Entity type
Individual (NPI-1)
Name
Julia Lauren Fisch
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
May 1, 2026
Certification date
May 1, 2026
Last updated
May 1, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical–NYYes

Practice location

7901 Broadway
Elmhurst, NY 11373-1329

Phone 844-692-4692

Mailing address

39 Schoenfield Ln
Melville, NY 11747-1655

Phone 631-575-7589

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Surgical Physician Assistant providers in Elmhurst, NY

All 20 Surgical Physician Assistant providers in Elmhurst · All 3,376 providers in Elmhurst

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