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

Heba Makboul, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1336322387

Heba Makboul, PHYSICIANASSISTANT is a Physician Assistant in Jackson Heights, New York. Qualified in 2024, 2 years ago. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

3540 82nd St Ste 1D
Jackson Heights, NY 11372-5106
Phone: (718) 507-5800
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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 033661 (NY)
Physical Therapist Taxonomy 225100000X · Licence 028209 (NY)

Record details

NPI number1336322387
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedDecember 13, 2007
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Jackson Heights