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

Individual provider Physician Assistant · NPI 1730514787

Khadija Wiese, PA-C is a Physician Assistant in Brooklyn, New York. Qualified in 2013, 13 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group and accepts Medicare assignment.

Years since qualifying
13
In the registry since
2013
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

374 Stockholm St
Brooklyn, NY 11237-4006
Phone: (718) 963-7272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1730514787
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2013
Last updated in NPPESSeptember 10, 2013

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice North Shore Lij Urgent Care Pc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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