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JANINE FETISOV PA-C
NPI 1386039220
Physician Assistant in Brooklyn, NY

Active since March 30, 2015
374 STOCKHOLM ST, BROOKLYN, NY 11237(718) 963-7272 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Janine Fetisov Pa-c NPPES

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

JANINE FETISOV PA-C (NPI 1386039220) is an individual physician assistant in Brooklyn, New York, licensed in New York (018517) and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1386039220
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJANINE FETISOVCredential: PA-C
Location Address374 STOCKHOLM STBrooklyn, NY 11237-4006
Mailing Address8633 Dexter CtWoodhaven, NY 11421-1028 · (347) 444-9055
Phone(718) 963-7272
Sole ProprietorNo
Enumeration DateMarch 30, 2015
Last NPPES UpdateAugust 26, 2020
NPPES CertifiedAugust 24, 2020
✔ NPI 1386039220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 018517
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
374 STOCKHOLM ST, Brooklyn, NY 11237
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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.

GABY DABOUL M.D
General Acute Care Hospital
374 STOCKHOLM ST
BROOKLYN, NY 11237
Kings County (718) 963-7272
AMIT DHALIWAL MD
Internal Medicine (Infectious Disease)
374 STOCKHOLM ST
BROOKLYN, NY 11237
Kings County (718) 963-7272
SAMER ATTIA MD
Internal Medicine
374 STOCKHOLM ST
BROOKLYN, NY 11237
Kings County (718) 963-6466
TECIA MADURIE RN
Registered Nurse
374 STOCKHOLM ST
BROOKLYN, NY 11237
Kings County (718) 501-1983
DR. FARIDEH ZONOUZI-ZADEH M.D.
Family Medicine
374 STOCKHOLM ST, C/O FACULTY PRACTICE
BROOKLYN, NY 11237
Kings County (718) 963-6551
DR. BALA KRISHNA BABJI RAVI M.D.
Obstetrics & Gynecology
374 STOCKHOLM ST, C/O FACULTY PRACTICE
BROOKLYN, NY 11237
Kings County (718) 963-6551
DIANE CHRIST P.A.
Physician Assistant
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT SUITE I-37 NORTH
BROOKLYN, NY 11237
Kings County (718) 963-6551
MRS. BHAKTI SHAH RPA-C
Physician Assistant
374 STOCKHOLM ST, C/O FACULTY PRACTICE MANAGEMENT-SUITE I37N
BROOKLYN, NY 11237
Kings County (914) 654-6543

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 Janine Fetisov's NPI number?

The NPI number for Janine Fetisov is 1386039220. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Janine Fetisov located?

Janine Fetisov practices at 374 Stockholm St, Brooklyn, NY 11237. The listed phone number is (718) 963-7272.

What is Janine Fetisov's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Janine Fetisov was last updated on August 26, 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.