Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Berthain Samuel Delille, RPA-C

Individual provider Physician Assistant · NPI 1124382304

Mr. Berthain Samuel Delille, RPA-C is a Physician Assistant in Brooklyn, New York. Qualified in 2011, 15 years ago. Practices with Excel Urgent Care of Astoria PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

150 55th St
Brooklyn, NY 11220-2508
Phone: (718) 630-8718
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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 015579-1 (NY)

Record details

NPI number1124382304
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2012
Last updated in NPPESJuly 2, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Excel Urgent Care Of Astoria Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Brooklyn