KRISTINA MARIE ENGELHAUPT PA-C
NPI 1508124017
Physician Assistant in New York, NY

Q: What is Kristina Engelhaupt's NPI number?

The NPI number for Kristina Engelhaupt is 1508124017. It was assigned to this individual provider in the NPPES registry on May 3, 2012.

Q: What is Kristina Engelhaupt's specialty?

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

Active since May 03, 2012

30 BROAD ST FL 45, NEW YORK, NY 10004(212) 530-0630 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2022, Jul 10, 2020, Jan 11, 2017 (3 updates tracked since 2017).

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About Kristina Marie Engelhaupt Pa-c NPPES

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

KRISTINA MARIE ENGELHAUPT PA-C (NPI 1508124017) is an individual physician assistant in New York, New York, licensed in New York (026577) and active in the NPI registry since May 2012. She maintains a secondary practice location in Alcoa.

NPPES Registry Identity

NPI1508124017

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTINA MARIE ENGELHAUPTCredential: PA-C

Location Address30 BROAD ST FL 45New York, NY 10004-2942

Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791

Phone(212) 530-0630

Sole ProprietorNo

Enumeration DateMay 3, 2012

Last NPPES UpdateApril 11, 20223 updates tracked since enumeration

NPPES CertifiedApril 11, 2022

✔ NPI 1508124017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NY · 026577✔ Licensed in TN · PA0000003330

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.

30 BROAD ST FL 45, New York, NY 10004

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Secondary Practice Location 1

Location 1266 Joule StAlcoa, TN 37701-2422 · Phone (865) 984-3864 · Fax (865) 380-4095

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.

RESHMA H. PATEL P.A.

Physician Assistant