Individual provider Active NPI

Yael Eva Kushner, PA-C

  • Physician Assistant
  • Fort Lauderdale, FL
National Provider Identifier
1730433483
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2699 Stirling Rd Ste B305
Ft Lauderdale, FL 33312-6546
Phone
(954) 981-9180
Fax
(954) 961-4752
NPI assigned
Nov 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X PA9106870 FL
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2699 Stirling Rd Ste B305
Ft Lauderdale, FL 33312-6546

Mailing address

2699 Stirling Rd Ste B100
Ft Lauderdale, FL 33312-6543
Phone (305) 223-8808

Other identifiers 1

IdentifierTypeStateIssuer
009693800MedicaidFL

Other names 1

  • Yael Eva Assidon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20131003000130 FL Practitioner - Physician Assistant 3870727977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1960 NE 47TH St
101 Florida Center for Allergy and Asthma Car
Fort Lauderdale, FL 33308-7708
Phone (954) 772-3366

21150 Biscayne Blvd
Suite 408
Aventura, FL 33180-1250
Phone (305) 932-3252

2901 Coral Hills Dr
Suite 310
Coral Springs, FL 33065-4165
Phone (954) 344-8100

350 NW 84TH Ave
205 Florida Center for Allergy and Asthma Car
Plantation, FL 33324-1859
Phone (954) 472-4848

7150 W 20TH Ave
106 Florida Center for Allergy and Asthma Car
Hialeah, FL 33016-5509
Phone (305) 362-7762

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of South Florida PA Allergy & Immunology PastSince Oct 29, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1730433483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE B100",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126543",
            "telephone_number": "305-223-8808",
            "fax_number": "954-962-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD STE B305",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126546",
            "telephone_number": "954-981-9180",
            "fax_number": "954-961-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "YAEL",
        "middle_name": "EVA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-02",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "PA9106870",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009693800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAEL",
            "last_name": "ASSIDON",
            "middle_name": "EVA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.