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

Jehanzeb Bukhari, PA

Individual provider Physician Assistant · NPI 1790594968

Jehanzeb Bukhari, PA is a Physician Assistant in Cicero, New York. Graduated from Eastern Virginia Medical School in 2025, 1 year ago. Practices with St Josephs Medical PC, a 385-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Trained at
Eastern Virginia Medical School
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.

See every abbreviation used in this directory →

Practice location Address checks out

5586 Legionnaire Dr Ste 1
Cicero, NY 13039-3504
Phone: (315) 699-2837
Fax: (315) 752-0030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 034612 (NY)

Record details

NPI number1790594968
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJanuary 2, 2025
Last updated in NPPESSeptember 28, 2025
Certification dateSeptember 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2025 (1 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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