Evelyn L Incitti, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0026511 Issued in NY

Practice address

1405 Fulton Ave
Schenectady, NY 12308-1402

Phone

(518) 243-1313

Fax

(518) 831-7007

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1255420964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 ERIE BLVD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051026",
            "fax_number": "518-377-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 FULTON AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123081402",
            "telephone_number": "518-243-1313",
            "fax_number": "518-831-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INCITTI",
        "first_name": "EVELYN",
        "middle_name": "L",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0026511",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F000326-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Augustin Iancu, DDS
• Louis C Ianniello, M.D.
• Iftikhar a Syed Facs General Surgery PC
• Iftikhar a. Syed, M.D., F.a.C.S., P.C.
• Kevin Walter Ihrman, M.S.
• Tricia Indall, MD
• Karen Ingoldsby, RD CDN
• Inner Horizons, LLC
• Marie Insogna
• Heather Lynn Isabelle, OTR/L

• Physician Assistant in Schenectady, NY
• Providers in Schenectady, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.