ETK RPA, PC
NPI 1265488027
Physician Assistant - Surgical in Aquebogue, NY

Active since May 25, 2006
19 FOX TRAIL COURT, AQUEBOGUE, NY 11931(631) 766-6538 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Etk Rpa, Pc NPPES

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

ETK RPA, PC (NPI 1265488027) is a healthcare organization registered as a surgical in Aquebogue, New York and active in the NPI registry since May 2006. The organization lists Eugene T King, President, as its authorized official.

NPPES Registry Identity

NPI1265488027
Entity TypeOrganization
Primary Taxonomy363AS0400X
Legal Business NameETK RPA, PC
Location Address19 FOX TRAIL COURTAquebogue, NY 11931-0083
Mailing AddressPo Box 83Aquebogue, NY 11931-0083
Organization SubpartNo
Authorized OfficialEugene T KingPresident · (631) 766-6538
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1265488027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 001662
19 FOX TRAIL COURT, Aquebogue, NY 11931

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

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 Etk Rpa, PC's NPI number?

The NPI number for Etk Rpa, PC is 1265488027. It was assigned to this organization in the NPPES registry on May 25, 2006.

Where is Etk Rpa, PC located?

Etk Rpa, PC is located at 19 Fox Trail Court, Aquebogue, NY 11931. The listed phone number is (631) 766-6538.

What is Etk Rpa, PC's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Etk Rpa, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.