Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Angelina Stella Roustas

Individual provider Physician Assistant · NPI 1922910512

Angelina Stella Roustas is a Physician Assistant in Philadelphia, Pennsylvania. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

4201 Henry Ave
Philadelphia, PA 19144-5409
Phone: (215) 951-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1922910512
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 19, 2026
Last updated in NPPESSeptember 19, 2026
Certification dateSeptember 13, 2026

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