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

Individual provider Physician Assistant · NPI 1457539033

MS. Betsy Petrocelli, PA is a Physician Assistant in Fresh Meadows, New York. Qualified in 2008, 18 years ago. Practices with North Shore Health System Medical Faculty Group Practice Inc, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
18
Licensed in
NY
In the registry since
2008
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

176-60 Union Tpke Ste 360
Fresh Meadows, NY 11366-1531
Phone: (718) 460-2300
Fax: (347) 225-9930
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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 012409 (NY)

Record details

NPI number1457539033
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 5, 2008
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice North Shore Health System Medical Faculty Group Practice Inc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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