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

Tatiana Davydova, PAC

Individual provider Physician Assistant · NPI 1316644677

Tatiana Davydova, PAC is a Physician Assistant in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with Ji Medical PC, a 6-clinician group. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2023
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2792 Ocean Ave Fl 2
Brooklyn, NY 11229-4731
Phone: (833) 635-2566
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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 029268 (NY)

Record details

NPI number1316644677
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 7, 2023
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ji Medical Pc — 6 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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