Grace Jean Etwaroo, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1044 State St
Schenectady, NY 12307-1508

Phone

(518) 370-1441

NPI assigned

Jun 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schenectady Family Health Services Inc 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ellis Hospital Hospital, Schenectady, NY, CCN 330153

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Schenectady Family Health Services, Inc.

  • Family Medicine Physician
  • Schenectady, NY
  • NPI 1396711982

  NY

  Medicare reassignment Care Compare group NPD
• Schenectady Family Health Services, Inc.

  • Family Medicine Physician
  • Amsterdam, NY
  • NPI 1174947469
  Care Compare group NPD (past)
• Schenectady Family Health Services, Inc.

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1457024218
  Care Compare group
• Schenectady Family Health Services, Inc.

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1316624786
  NPD (past)
• Schenectady Family Health Services, Inc.

  • Dental Clinic/Center
  • Schenectady, NY
  • NPI 1538705819
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1750124442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123071508",
            "telephone_number": "518-370-1441",
            "fax_number": "518-395-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123071508",
            "telephone_number": "518-370-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETWAROO",
        "first_name": "GRACE",
        "middle_name": "JEAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "331833",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "53099A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Allen Erby, M.D.
• Cristine Maria Espinosa, MD
• Marines Espinoza, LMSW
• Lindsey Esposito, LCSW
• Mineke E. Etienne, M.D.
• Asha Bammi Evans, CPED
• Stephanie B. Evans, MD
• Charisse Evers, NP
• Thomas W Every, D.D.S.
• Yohary Fabian, MD

• All providers in Schenectady, NY
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.