Ea PA Health P.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

EA PA HEALTH P.C.

Practice address

11909 Audley St
Kew Gardens, NY 11415-1342

Phone

(212) 380-6988

NPI assigned

Feb 26, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Emanuel Avezbakiyev, PHYSICIAN ASSISTANTNPI 1447358197

Title

Founder

Phone

(212) 380-6988

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emanuel Avezbakiyev, PA

  • Physician Assistant
  • New York, NY
  • NPI 1447358197
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1154275097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11819 83RD AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151301",
            "telephone_number": "212-380-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11909 AUDLEY ST",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151342",
            "telephone_number": "212-380-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EA PA HEALTH P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-26",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "AVEZBAKIYEV",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "212-380-6988",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICIAN ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physician Assistant in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.