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

Gracie-Ann Samadh Roberts, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1407045917

Gracie-Ann Samadh Roberts, PHYSICIANASSISTANT is a Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

439 Port Richmond Ave
Staten Island, NY 10302-1714
Phone: (917) 830-1235
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 011794 (NY)

Record details

NPI number1407045917
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 20, 2007
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Other providers in Staten Island