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

Benjamin Boubli

Individual provider Physician Assistant · NPI 1205593167

Benjamin Boubli is a Physician Assistant in Brooklyn, New York. Graduated from State University of New York Downstate Medical Center in 2021, 5 years ago. Practices with Community Urgent Care PC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

5902 18th Ave
Brooklyn, NY 11204-2201
Phone: (347) 625-7557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 667 Myrtle Ave, Brooklyn, NY 11205-4180 — (347) 625-7557

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 027638 (NY)

Record details

NPI number1205593167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 25, 2021
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address670 Hawthorne St, Brooklyn, NY 11203-1804

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2021 (5 years in practice)
Group practice Community Urgent Care Pc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Brooklyn