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

Individual provider Physician Assistant · NPI 1538417159

Eden Alexis Davis, PA is a Physician Assistant in New York, New York. Qualified in 2012, 14 years ago. Practices with MSKCC Surgery Group, a 365-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
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

1275 York Avenue Box 435
New York, NY 10065
Phone: (212) 639-7537
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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 015658 (NY)

Record details

NPI number1538417159
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 29, 2012
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mskcc Surgery Group — 365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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