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

Individual provider Physician Assistant · NPI 1619573631

Jason Avinash Chandebal, PA is a Physician Assistant in Glen Oaks, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2020
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

26701 Hillside Ave
Glen Oaks, NY 11004-1743
Phone: (718) 343-7790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10437 Lefferts Blvd, South Richmond Hill, NY 11419-2709 — (718) 322-8494

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026517 (NY)

Record details

NPI number1619573631
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 6, 2020
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021

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