Physician Assistant
TREVOR DOHERTY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1043875974 · enumerated 2019-05-06 · record updated 2020-09-18. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 5141 BROADWAY # 2FW-095, NEW YORK, NY, 10034-1159 (212) 932-5218 Fax (212) 932-5258 Google Maps Apple Maps OpenStreetMap
- Mailing address 60 STILLSON RD, FAIRFIELD, CT, 06825-3212 (203) 209-2106 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 023899 NY
In this directory
Locations and evidence
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Practice location
NEW YORK, NY, 100341159
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.