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

Jonathan Babayev

Individual provider Physician Assistant · NPI 1134590177

Jonathan Babayev is a Physician Assistant in Fresh Meadows, New York. Qualified in 2015, 11 years ago. Practices with New York Queens Medicine and Surgery, PC, a 401-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

6549 168th St
Fresh Meadows, NY 11365-1941
Phone: (347) 844-3264
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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 019107-1 (NY)

Record details

NPI number1134590177
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 16, 2015
Last updated in NPPESNovember 18, 2022
Certification dateNovember 18, 2022
Mailing address6549 168th St, Fresh Meadows, NY 11365-1941

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice New York Queens Medicine And Surgery, P.C. — 401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Fresh Meadows