TATIANA SUVOROV NPI 1346599420

NPI Information

  • NPI: 1346599420
  • Provider Name: TATIANA SUVOROV
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: CHA REVERE FAMILY CARE CENTER
    454 BROADWAY
    REVERE, MA
    ZIP 02151
  • Phone: (781) 485-8222

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NPI Details

Tatiana Suvorov is a medical physician assistant in Revere, MA. Tatiana Suvorov NPI is 1346599420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

CHA REVERE FAMILY CARE CENTER
454 BROADWAY
REVERE, MA
ZIP 02151
Phone: (781) 485-8222

The NPI 1346599420 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 9/5/2012 and was last updated on 6/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA6778MASSACHUSETTSYes
2363A00000XPhysician Assistant015788NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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