Doctor profile · Federal record
Dr. Ellie Theodorakis, PA-C
Physician Assistant · Jamaica, NY
- NPI 1669178083
- Accepts Medicare
- 3 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
9420 Guy R Brewer Blvd
Jamaica, NY 114510002
(718) 262-2000
Credentials & registration
- NPI registered
- February 2023 — 3 yrs on file
- Profile last updated
- July 14, 2025
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New York #029649
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669178083. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$34
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ConvaTec Inc. | 1 | $33.96 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Ellie Theodorakis's medical specialty?
Dr. Ellie Theodorakis practices Physician Assistant in Jamaica, NY.
Where does Dr. Ellie Theodorakis practice?
Dr. Ellie Theodorakis practices at 9420 Guy R Brewer Blvd, Jamaica, NY 114510002. Office phone: 7182622000.
What is Dr. Ellie Theodorakis's NPI?
Dr. Ellie Theodorakis's National Provider Identifier (NPI) is 1669178083, issued by NPPES.
Does Dr. Ellie Theodorakis accept Medicare assignment?
Yes. Dr. Ellie Theodorakis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.