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DR. ETHAN THOMAS PAULIN M.D.
NPI 1194172106
Student in an Organized Health Care Education/Training Program in Valhalla, NY

Active since May 19, 2016PECOS EnrolledAccepts Medicare Assignment
100 WOODS RD, VALHALLA, NY 10595(914) 493-1223 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2023, May 19, 2016 (2 updates tracked since 2016).

About Dr. Ethan Thomas Paulin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ETHAN THOMAS PAULIN M.D. (NPI 1194172106) is an individual student in an organized health care education/training program in Valhalla, New York and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Port Jefferson Station, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1194172106
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ETHAN THOMAS PAULINCredential: M.D.
Location Address100 WOODS RDValhalla, NY 10595-1530
Mailing Address101 Legend Dr Apt 3315Sleepy Hollow, NY 10591-3495 · (484) 716-8255
Phone(914) 493-1223
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateMay 19, 2016
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1194172106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPlastic SurgeryTaxonomy 208200000X · License 322840 (NY)
100 WOODS RD, Valhalla, NY 10595
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Secondary Practice Location 1

Location 196 Terryville RdPort Jefferson Station, NY 11776-1388 · Phone (631) 815-2366

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ethan Thomas Paulin M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395145783
PECOS Enrollment IDI20240111000211
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ethan Paulin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Westchester Medical Center Advanced Physician Services PC
0.1 mi
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
NPI 1740687458 (914) 493-2844

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LISA ANN SAUER N.P.
Nurse Practitioner (Neonatal, Critical Care)
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
KAREN FRANCOIS MD
Anesthesiology
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
KIMBERLY WILSON R.D.
Dietitian, Registered
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7664
RADHIKA VOLETI M.D
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
FAREENA NAWAZ MD
Internal Medicine
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
AUSTIN B CARPENTER
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-8795
AMRO AGLAN MD
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-7000
HAO WANG MD, PHD
Student in an Organized Health Care Education/Training Program
100 WOODS RD
VALHALLA, NY 10595
Westchester County (914) 493-6613

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Paulin's NPI number?

The NPI number for Ethan Paulin is 1194172106. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Ethan Paulin located?

Ethan Paulin practices at 100 Woods Rd, Valhalla, NY 10595. The listed phone number is (914) 493-1223.

What is Ethan Paulin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ethan Paulin enrolled in Medicare?

Yes. Ethan Paulin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ethan Paulin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Paulin reassigns Medicare benefits to Westchester Medical Center Advanced Physician Services PC (Valhalla, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Paulin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ethan Paulin was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.