Individual provider Active NPI

Richelle Lee Brown, PHYSICIAN ASSISTANT

  • Physician Assistant
  • New York, NY
National Provider Identifier
1063916328
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
021929 Issued in NY
Practice address
156 William St RM 303
New York, NY 10038-5307
Phone
(716) 292-7590
Fax
(888) 803-3331
NPI assigned
Mar 21, 2018
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61257 CA
Physician Assistant 363A00000X 9116005 FL
Physician Assistant 363A00000X 021929 NY Primary

Addresses

Primary practice location

156 William St RM 303
New York, NY 10038-5307

Mailing address

156 William St RM 303
New York, NY 10038-5307
Phone (716) 292-7590

Other practice location 1

333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3370

Other practice location 2

2820 NE 214th St Ste 801
Aventura, FL 33180-1269
Phone (808) 803-3370

Other identifiers 1

IdentifierTypeStateIssuer
02383255MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250825000454 FL Practitioner - Physician Assistant 6406045327 Reassigns benefits to 1 organization
I20250915002277 CA Practitioner - Physician Assistant 6406045327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

333 1St St
Suite a
San Francisco, CA 94105-3060

440 Franklin St
Suite 300
Bloomfield, NJ 07003-4378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61257CAMDPhysician Assistant
9116005FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick J Piwko MD PC PastSince Sep 1, 2019 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1063916328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WILLIAM ST RM 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385307",
            "telephone_number": "716-292-7590",
            "fax_number": "888-803-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WILLIAM ST RM 303",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385307",
            "telephone_number": "716-292-7590",
            "fax_number": "888-803-3331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2820 NE 214th St Ste 801",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801269",
            "country_code": "US",
            "telephone_number": "808-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RICHELLE",
        "middle_name": "LEE",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "61257",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9116005",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02383255",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.