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

Kelly Elizabeth Lifavi, PA-C

Individual provider Physician Assistant · NPI 1861938698

Kelly Elizabeth Lifavi, PA-C is a Physician Assistant in Brooklyn, New York. Qualified in 2016, 10 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

461 Fulton St Fl 2
Brooklyn, NY 11201-5207
Phone: (718) 571-9418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8900 Van Wyck Expy, Richmond Hill, NY 11418-2832 — (718) 206-6058

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1861938698
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 18, 2017
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Brooklyn