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ATHENA MARIE BRUZZANO PA-C
NPI 1942856885
Physician Assistant in New York, NY

Active since August 15, 2019PECOS EnrolledAccepts Medicare Assignment
928 BROADWAY STE 301, NEW YORK, NY 10010(464) 216-0646 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 5, 2025, Dec 4, 2019, Aug 15, 2019 (3 updates tracked since 2019).

About Athena Marie Bruzzano Pa-c NPPES

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

ATHENA MARIE BRUZZANO PA-C (NPI 1942856885) is an individual physician assistant in New York, New York, licensed in New York (024502) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942856885
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameATHENA MARIE BRUZZANOCredential: PA-C
Location Address928 BROADWAY STE 301New York, NY 10010-8156
Mailing Address215 Beach 123rd StRockaway Park, NY 11694-1828 · (917) 613-7318
Phone(464) 216-0646
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 15, 2019
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1942856885 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 · 024502
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.
928 BROADWAY STE 301, New York, NY 10010
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Other Names 1

Professional Name (2)Athena Marie Mcdonald-smith Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Athena Marie Bruzzano Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062841075
PECOS Enrollment IDI20200326001065
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

SAMANTHA PAIGE KAPLAN
Physician Assistant
928 BROADWAY STE 301
NEW YORK, NY 10010
New York County (646) 421-6064
MR. JAMES EDWARD CANNER JR. PA-C
Physician Assistant
928 BROADWAY STE 301
NEW YORK, NY 10010
New York County (646) 421-6064

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 Athena Bruzzano's NPI number?

The NPI number for Athena Bruzzano is 1942856885. It was assigned to this individual provider in the NPPES registry on August 15, 2019. The provider is also known as Athena Marie Mcdonald-Smith Pa-C.

Where is Athena Bruzzano located?

Athena Bruzzano practices at 928 Broadway Ste 301, New York, NY 10010. The listed phone number is (464) 216-0646.

What is Athena Bruzzano's specialty?

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

Is Athena Bruzzano enrolled in Medicare?

Yes. Athena Bruzzano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Athena Bruzzano was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.