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

Grace Esposito, PA

Individual provider Physician Assistant · NPI 1104300912

Grace Esposito, PA is a Physician Assistant in New York, New York. Qualified in 2018, 8 years ago. Practices with Memorial Pediatric Group, a 39-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

545 1st Ave
New York, NY 10016-6401
Phone: (646) 501-9946
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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 022616 (NY)

Record details

NPI number1104300912
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESNovember 11, 2022
Certification dateNovember 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Memorial Pediatric Group — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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