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

Eden Yaghoubi

Individual provider Physician Assistant · NPI 1346771714

Eden Yaghoubi is a Physician Assistant in Brooklyn, New York. Qualified in 2017, 9 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

6010 Bay Pkwy
Brooklyn, NY 11204-6079
Phone: (718) 283-6199
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 259 1st St, Mineola, NY 11501-3957 — (516) 663-3871

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 020712 (NY)

Record details

NPI number1346771714
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2017
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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