Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Svetlana Yakushin, PA

Individual provider Physician Assistant · NPI 1073712303

Svetlana Yakushin, PA is a Physician Assistant in New York, New York. Qualified in 2007, 19 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2007
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

1190 5th Ave
New York, NY 10029-6503
Phone: (212) 427-1540
Fax: (646) 537-9266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 427-1540

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011757 (NY)

Record details

NPI number1073712303
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 17, 2007
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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