Heba Makboul, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

033661 Issued in NY

Practice address

3540 82ND St Ste 1D
Jackson Heights, NY 11372-5106

Phone

(718) 507-5800

NPI assigned

Dec 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IFIEAD
• Direct secure messaging: hmakboul8714809@nychhc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physician Affiliate Group of New York PC

  • Registered Dietitian
  • New York, NY
  • NPI 1013375526
  Medicare reassignment
• Triboro Pediatrics Medical PC

  • Pediatrics Physician
  • Jackson Heights, NY
  • NPI 1912605759
  NPD
• Tommy Galanis MD PC

  • Pediatrics Physician
  • Jackson Heights, NY
  • NPI 1215438783
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1336322387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5823 83RD ST APT 2",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795496",
            "telephone_number": "646-724-3899",
            "fax_number": "718-424-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 82ND ST STE 1D",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113725106",
            "telephone_number": "718-507-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKBOUL",
        "first_name": "HEBA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "033661",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atif Mahmood, P.A.
• Main Street Radiology at Bayside LLC
• Stefanie T Maizel-Orishimo, M.A.,CCC-SLP
• Major Medical Equipment and Supply LLC
• Major Pharmacy Corp
• William B Makolin, RPH
• Maura Malarcher
• Kathleen Malcomson, MS ED
• Syed Hamza Malik, PHARMD
• Bettina Manduca

• Physician Assistant in Jackson Heights, NY
• Providers in Jackson Heights, 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 Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.