Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ablajan Heytak, PA

Individual provider Physician Assistant · NPI 1174117907

Ablajan Heytak, PA is a Physician Assistant in Flushing, New York. Qualified in 2011, 15 years ago. Practices with Edwin K Chan MD PC, a 5-clinician group and accepts Medicare assignment. Licensed in New York and Washington.

Years since qualifying
15
Licensed in
NY, WA
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13640 39th Ave Ste 6GB
Flushing, NY 11354-5536
Phone: (718) 321-8246
Fax: (718) 321-8273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026512 (NY)
Physician Assistant Taxonomy 363A00000X · Licence PA61260172 (WA)

Record details

NPI number1174117907
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 23, 2021
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Edwin K Chan Md Pc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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