Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Robyn M Ostapow, PA-C

Individual provider Physician Assistant · NPI 1104819341

Robyn M Ostapow, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 2005, 21 years ago. Practices with Revere Medical of Massachusetts PC, a 113-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Rhode Island.

Years since qualifying
21
Licensed in
MA, RI
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

180 Corliss St Ste B
Providence, RI 02904-2602
Phone: (401) 793-8400
Fax: (401) 793-8402
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Pearl St Ste 1000, Brockton, MA 02301-2869 — (508) 897-6080

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA00380 (RI)
Physician Assistant Taxonomy 363A00000X · Licence PA101298 (MA)

Record details

NPI number1104819341
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 23, 2005
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Revere Medical Of Massachusetts Pc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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