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

Individual provider Physician Assistant · NPI 1255802583

Sukhdeep Kaur, PA is a Physician Assistant in Bronx, New York. Qualified in 2018, 8 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
8
Licensed in
CA, NY
In the registry since
2018
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

111 E 210th St
Bronx, NY 10467-2401
Phone: (914) 378-6021
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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 59080 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 022364 (NY)

Record details

NPI number1255802583
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 16, 2018
Last updated in NPPESAugust 19, 2021
Certification dateAugust 19, 2021
Mailing address100 Corporate Dr, Yonkers, NY 10701-6807

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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