NPI 1699458125 · live from the CMS NPI Registry
Brielle Joy Antonelli
Physician Assistant in Newburgh, NY. National Provider Identifier 1699458125, active.
NPI record
| NPI | 1699458125 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 70 Dubois St, Newburgh, NY 12550 |
| Practice phone | 845-568-2305 |
| Mailing address | 17 Rolling Meadows Blvd S, Ocean, NJ 07712 |
| Enumerated | August 10, 2023 |
| Last updated | July 28, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 031139-01 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.