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

Kiana Jeffers, PA

Individual provider Physician Assistant · NPI 1376102657

Kiana Jeffers, PA is a Physician Assistant in New York, New York. Qualified in 2019, 7 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
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

489 5th Ave Fl 3
New York, NY 10017-6145
Phone: (212) 441-4400
Fax: (212) 867-4353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 Crystal Run Rd, Middletown, NY 10941-4028 — (845) 703-6999

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 024439 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 024439 (NY)

Record details

NPI number1376102657
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 10, 2019
Last updated in NPPESSeptember 11, 2023
Certification dateSeptember 11, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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