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

Enisa Dukanovic

Individual provider Physician Assistant · NPI 1295209476

Enisa Dukanovic is a Physician Assistant in Astoria, New York. Qualified in 2018, 8 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
8
Licensed in
NJ, NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3407 31st Ave Apt 1C
Astoria, NY 11106-1441
Phone: (347) 924-2471
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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 023084 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00532400 (NJ)

Record details

NPI number1295209476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 21, 2019
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address3407 31st Ave Apt 1c, Astoria, NY 11106-1441

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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