ANGELA ETIENNE PA-C
NPI 1952136954
Physician Assistant - Medical in Brooklyn, NY
About Angela Etienne Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA ETIENNE PA-C (NPI 1952136954) is an individual medical provider in Brooklyn, New York and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela Etienne Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Angela Etienne's NPI number?
The NPI number for Angela Etienne is 1952136954. It was assigned to this individual provider in the NPPES registry on September 9, 2024.
Where is Angela Etienne located?
Angela Etienne practices at 828 Utica Ave, Brooklyn, NY 11203. The listed phone number is (718) 303-0851.
What is Angela Etienne's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Angela Etienne enrolled in Medicare?
Yes. Angela Etienne is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Angela Etienne was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Angela Etienne, PA-C · NPI 1952136954
Medical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since September 9, 2024.
## Identity
- **NPI:** 1952136954 (Entity type: Individual)
- **Enumerated:** September 9, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 828 UTICA AVE, Brooklyn, NY 11203-3409
- **Phone:** (718) 303-0851
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1952136954) · Data from the CMS NPPES public registry.