MR. TRACY MASA TAKAKI PHYSICIAN ASSISTANT
NPI 1649383225
Physician Assistant in Brentwood, NY

Active since August 16, 2006
1869 BRENTWOOD RD, BRENTWOOD, BRENTWOOD, NY 11717(631) 853-3400 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Tracy Masa Takaki Physician Assistant NPPES

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

MR. TRACY MASA TAKAKI PHYSICIAN ASSISTANT (NPI 1649383225) is an individual physician assistant in Brentwood, New York, licensed in New York (004941) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1649383225
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TRACY MASA TAKAKICredential: PHYSICIAN ASSISTANT
Location Address1869 BRENTWOOD RD, BRENTWOODBrentwood, NY 11717-4625
Mailing Address1869 Brentwood RoadBrentwood, NY 11717-1742
Sole ProprietorNo
Enumeration DateAugust 16, 2006
Last NPPES UpdateMarch 29, 2011
NPI 1649383225 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 · 004941
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.
1869 BRENTWOOD RD, Brentwood, NY 11717

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.

Nurse Practitioner (Adult Health)
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Nurse Practitioner (Psychiatric/Mental Health)
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Clinic/Center (Public Health, State or Local)
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Family Medicine
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Physician Assistant
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Midwife
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Pediatrics
1869 BRENTWOOD RD
BRENTWOOD, NY 11717
Family Medicine
1869 BRENTWOOD RD
BRENTWOOD, NY 11717

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 Tracy Takaki's NPI number?

The NPI number for Tracy Takaki is 1649383225. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Tracy Takaki located?

Tracy Takaki practices at 1869 Brentwood Rd Brentwood, Brentwood, NY 11717. The listed phone number is (631) 853-3400.

What is Tracy Takaki'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 Tracy Takaki was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.