Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brooklyn Ann Tolkacz

Individual provider Physician Assistant · NPI 1376274001

Brooklyn Ann Tolkacz is a Physician Assistant in Providence, Rhode Island. Qualified in 2023, 3 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan and Rhode Island.

Years since qualifying
3
Licensed in
MI, RI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1 Blackstone Street 3rd Fl
Providence, RI 02903
Phone: (401) 453-7520
Fax: (401) 453-7529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 43630 Hayes Rd, Clinton Township, MI 48038-3545 — (586) 323-4530
  • 1704 Hempstead Dr, Troy, MI 48083-2631 — (734) 625-5583
  • 101 Dudley St, Providence, RI 02905-2401 — (401) 453-7520

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011825 (MI)
Physician Assistant Taxonomy 363A00000X · Licence PA01829 (RI)

Record details

NPI number1376274001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 22, 2022
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Providence