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

MS. De Angela T Minter, PA

Individual provider Physician Assistant · NPI 1609144088

MS. De Angela T Minter, PA is a Physician Assistant in New York, New York. Practices as a sole proprietor. Licensed in Arizona, California, Georgia and Massachusetts and 3 more.

Licensed in
AZ, CA, GA, MA, NY, TX
In the registry since
2011
Specialties on file
7
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

30 Broad St Fl 45
New York, NY 10004-2942
Phone: (212) 530-0630
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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 024979 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 10884 (GA)
Physician Assistant Taxonomy 363A00000X · Licence PA22020 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 7793 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence PA14151 (TX)
Physician Assistant Taxonomy 363A00000X · Licence PA61026917 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA8892 (MA)

Record details

NPI number1609144088
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 13, 2011
Last updated in NPPESFebruary 16, 2023
Certification dateFebruary 16, 2023

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