Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christopher Ptak, PA-C

Individual provider Physician Assistant · NPI 1073368924

Christopher Ptak, PA-C is a Physician Assistant in Ridgewood, New York. Graduated from Touro Un Col of Osteopathic Medicine, New York in 2024, 2 years ago. Practices with Brookhaven Heart PLLC, a 24-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Trained at
Touro Un Col of Osteopathic Medicine, New York
Licensed in
NY
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

5626 Myrtle Ave
Ridgewood, NY 11385-4736
Phone: (718) 571-9714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 031790 (NY)

Record details

NPI number1073368924
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 23, 2024
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address22 Parkwold Dr W, Valley Stream, NY 11580-2130

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolTOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK
Graduated 2024 (2 years in practice)
Group practice Brookhaven Heart Pllc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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