Active NPI
Ariella Enayatian
- Physician Assistant
- Brooklyn, NY
National Provider Identifier
1952250086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 035094-01
- Practice address
- 74 Wallabout St
Brooklyn, NY 11249-7830 - Phone
- (718) 260-4600
- NPI assigned
- Jan 22, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 035094-01 | NY | Primary |
Addresses
Primary practice location
74 Wallabout St
Brooklyn, NY 11249-7830
Mailing address
1122 E 28TH St
Brooklyn, NY 11210-4625
Phone (646) 377-9395
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260413002104 | NY | Order and Referring Only - Physician Assistant | 5294200796 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035094-01 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1952250086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1122 E 28TH ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112104625",
"telephone_number": "646-377-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 WALLABOUT ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112497830",
"telephone_number": "718-260-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENAYATIAN",
"first_name": "ARIELLA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-22",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "035094-01",
"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 22, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.