EDEN YAGHOUBI (NPI# 1346771714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346771714 |
| Entity Type | Individual |
| Full Name | EDEN YAGHOUBI |
| Practice Address |
6010 Bay Pkwy Brooklyn NY 11204-6079 |
| Mailing Address |
11 W End Ave Great Neck NY 11023-1221 |
| Practice Telephone | 7182836199 |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-03-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 020712 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6010 BAY PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11204-6079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700818499 | Sol Jay Grazi | Family Medicine | 6010 Bay Pkwy, Suite 901, Brooklyn, NY 11204-6079 | 2006-07-06 |
| 1003387192 | Tai Luong La | Physical Therapy Assistant | 6010 Bay Pkwy, Brooklyn, NY 11204-6079 | 2018-12-16 |
| 1679044457 | Jason Tam | Physical Therapist | 6010 Bay Pkwy, Brooklyn, NY 11204-6079 | 2018-12-05 |
| 1427507771 | Northern Medical House Calls Pllc | Social Worker | 6010 Bay Pkwy, Suite 903, Brooklyn, NY 11204-6079 | 2016-09-28 |
| 1932654282 | Orthopedic Faculty Practice | Orthopaedic Surgery | 6010 Bay Pkwy, 7th Floor, Brooklyn, NY 11204-6079 | 2016-08-16 |
| 1992258164 | Arthur Kharonov | Nurse Practitioner | 6010 Bay Pkwy, Brooklyn, NY 11204-6079 | 2016-07-25 |
| 1679934343 | Demetrios Milios | Nurse Practitioner | 6010 Bay Pkwy, Ste 901, Brooklyn, NY 11204-6081 | 2016-03-09 |
| 1619347796 | Amanda Marie Faraj | Physician Assistant | 6010 Bay Pkwy, 7th Floor, Brooklyn, NY 11204-6079 | 2015-10-01 |
| 1265815542 | Efram Zuller | Nurse Practitioner | 6010 Bay Pkwy, 902, Brooklyn, NY 11204-6079 | 2015-07-03 |
| 1699173112 | Allena Constable | Registered Nurse | 6010 Bay Pkwy, Suite 901, Brooklyn, NY 11204-6079 | 2014-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577564 | Miriam Levin | Social Worker | 5309 18th Avenue, Brooklyn, NY 11204 | 2020-01-14 |
| 1073076980 | Fusion Dental, P.C. | Dentist | 2101 Bay Ridge Parkway, Medical/dental Center, Brooklyn, NY 11204 | 2019-04-08 |
| 1477019990 | Daniel Silberstein | Physical Therapist | 1767 48th Street, Brooklyn, NY 11204 | 2019-02-20 |
| 1144736968 | Star 1 Health Inc. | Radiology | 2175 70th St, Suite 1, Brooklyn, NY 11204 | 2017-12-15 |
| 1417462318 | Betzalel Rabinowitz Np In Family Health, Pllc | Nurse Practitioner | 5911b 16th Ave, Brooklyn, NY 11204 | 2017-12-13 |
| 1588176648 | Giga Gambashidze | Physical Therapy Assistant | 1556 W 8th St, Apt 2, Brooklyn, NY 11204 | 2017-10-30 |
| 1871011015 | Rebecca Aida Nuzzi | Speech-Language Pathologist | 4715 18th Avenue, Brooklyn, NY 11204 | 2017-09-08 |
| 1245751882 | Wise Medical Ny PC | Optometrist | 5918 18th Ave Ste 3, Brooklyn, NY 11204 | 2017-07-05 |
| 1619498326 | Keisha Simmons | Licensed Practical Nurse | 703 Van Silcen Ave, Brooklyn, NY 11204 | 2017-07-03 |
| 1790205508 | Enas Ahmed | Physical Therapist | 1924 60th Street, 2nd Floor, Brooklyn, NY 11204 | 2017-06-22 |
| Find all providers in zip 11204 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 1376142737 | Amanda Shinall | Physician Assistant | 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 | 2020-10-18 |
| 1497353825 | Tsz Yan Soo | Physician Assistant | 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 | 2020-10-16 |
| 1164038907 | Emily Mai | Physician Assistant | 1956 W 9th St, Brooklyn, NY 11223-2548 | 2020-09-17 |
| 1497369342 | Krystal Renee Alexander | Physician Assistant | 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 | 2020-09-08 |
| 1578177390 | Celia Chen | Physician Assistant | 2628 E 18th St, Brooklyn, NY 11235-3659 | 2020-08-31 |
| 1669084547 | Peter Forman | Physician Assistant | 86 Saint Felix St, Brooklyn, NY 11217-3032 | 2020-08-20 |
| 1699383646 | Fabienne Mondelus | Physician Assistant | 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 | 2020-07-15 |
| 1508492729 | Esther Weitzner | Physician Assistant | 1195 E 12th St, Brooklyn, NY 11230-4811 | 2020-03-19 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.