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

Individual provider Physician Assistant · NPI 1912712332

Eliyahu Fakheri, PA is a Physician Assistant in Brooklyn, New York. Qualified in 2023, 3 years ago. Practices with Ahava Medical and Rehabilitation Center, LLC, a 150-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2025
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

19 Sumner Pl
Brooklyn, NY 11206
Phone: (917) 346-1092
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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 033029-01 (NY)

Record details

NPI number1912712332
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedFebruary 12, 2025
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Ahava Medical And Rehabilitation Center, Llc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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