ETK RPA PC NPI 1265488027

NPI Information

  • NPI: 1265488027
  • Provider Name: ETK RPA, PC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 19 FOX TRAIL COURT
    AQUEBOGUE, NY
    ZIP 11931
  • Phone: (631) 766-6538

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NPI Details

ETK RPA, PC is a surgical physician assistant in Aquebogue, NY. ETK RPA, PC NPI is 1265488027. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

19 FOX TRAIL COURT
AQUEBOGUE, NY
ZIP 11931-083
Phone: (631) 766-6538

The provider's authorized official is Eugene T King .
The authorized official title is President and has the following contact phone number (631) 766-6538.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical001662NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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