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MRS. JENNIFER ETHERIDGE-OTEY RPAC
NPI 1528134384
Physician Assistant - Medical in Brooklyn, NY

Active since November 25, 2006
450 CLARKSON AVE # 1222, PHYSICIAN ASSISTANT PROGRAM, BROOKLYN, NY 11203(718) 270-7773(718) 270-7459 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jennifer Etheridge-otey Rpac NPPES

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

MRS. JENNIFER ETHERIDGE-OTEY RPAC (NPI 1528134384) is an individual medical provider in Brooklyn, New York, licensed in New York (005589) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1528134384
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. JENNIFER ETHERIDGE-OTEYCredential: RPAC
Location Address450 CLARKSON AVE # 1222, PHYSICIAN ASSISTANT PROGRAMBrooklyn, NY 11203-2012
Mailing Address450 Clarkson Avenue, Box 1222, Physician Assistant ProgramBrooklyn, NY 11203 · (718) 270-7773
Phone(718) 270-7773
Fax(718) 270-7459
Sole ProprietorNo
Enumeration DateNovember 25, 2006
Last NPPES UpdateDecember 4, 2012
✔ NPI 1528134384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 005589
450 CLARKSON AVE # 1222, Brooklyn, NY 11203
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Other Providers at the Same Location NPPES

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

EMILY MORA
Physician Assistant
450 CLARKSON AVE # 1222
BROOKLYN, NY 11203
Kings County (718) 270-7707

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 Jennifer Etheridge-otey's NPI number?

The NPI number for Jennifer Etheridge-otey is 1528134384. It was assigned to this individual provider in the NPPES registry on November 25, 2006.

Where is Jennifer Etheridge-otey located?

Jennifer Etheridge-otey practices at 450 Clarkson Ave # 1222 Physician Assistant Program, Brooklyn, NY 11203. The listed phone number is (718) 270-7773.

What is Jennifer Etheridge-otey's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Etheridge-otey was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.