Individual provider Active NPI

Julie Shaowu Thorpe, PA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1679287387
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
029202-01 Issued in NY
Practice address
2076 E 13TH St
Brooklyn, NY 11229-3304
Phone
(877) 208-2882
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 029202-01 NY Primary

Addresses

Primary practice location

2076 E 13TH St
Brooklyn, NY 11229-3304

Mailing address

180 Water St Apt 1204
New York, NY 10038-5383
Phone (774) 230-8041

Other practice location 1

44 Gramercy Park N Apt 1B
New York, NY 10010-6326
Phone (877) 208-2882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
029202-01NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1679287387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WATER ST APT 1204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385383",
            "telephone_number": "774-230-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 E 13TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293304",
            "telephone_number": "877-208-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Gramercy Park N Apt 1B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100106326",
            "country_code": "US",
            "telephone_number": "877-208-2882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORPE",
        "first_name": "JULIE",
        "middle_name": "SHAOWU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "029202-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.