Provider Demographics
NPI:1902832421
Name:TAPIJA, ARDIAN (RSA,OPA-C)
Entity Type:Individual
Prefix:
First Name:ARDIAN
Middle Name:
Last Name:TAPIJA
Suffix:
Gender:M
Credentials:RSA,OPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6967 108TH ST
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3846
Mailing Address - Country:US
Mailing Address - Phone:718-268-4938
Mailing Address - Fax:718-268-4391
Practice Address - Street 1:6967 108TH ST
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3846
Practice Address - Country:US
Practice Address - Phone:718-268-4938
Practice Address - Fax:718-268-4391
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000145363AS0400X, 246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical