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

Trevor James Doherty

Individual provider Physician Assistant · NPI 1043875974

Trevor James Doherty is a Physician Assistant in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5141 Broadway # 2FW-095
New York, NY 10034-1159
Phone: (212) 932-5218
Fax: (212) 932-5258
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023899 (NY)

Record details

NPI number1043875974
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 6, 2019
Last updated in NPPESSeptember 18, 2020
Certification dateSeptember 18, 2020

Other providers in New York