Individual provider Active NPI

Julia Rousseau Spalding, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1083233787
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
234 E 85TH St FL 4
New York, NY 10028-3001
Phone
(212) 241-9410
NPI assigned
Apr 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

234 E 85TH St FL 4
New York, NY 10028-3001

Mailing address

234 E 85TH St FL 4
New York, NY 10028-3001
Phone (212) 241-9410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721001372 NY Practitioner - Physician Assistant 2668832692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
025189NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

234 E 85th St
#4
New York, NY 10028

5 E 98th St
Fl 8
New York, NY 10029
Phone (212) 241-4410

234 E 85th St
Fl 4
New York, NY 10028
Phone (212) 535-2298

1468 Madison Ave
#3220
New York, NY 10029

1468 Madison Ave
Fl 3220
New York, NY 10029

310 E 14th St
Fl N
New York, NY 10003
Phone (212) 979-4200

2052 Richmond Rd
Ste 1C
Staten Island, NY 10306
Phone (718) 273-2626

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1083233787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 85TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283001",
            "telephone_number": "212-241-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 85TH ST FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100283001",
            "telephone_number": "212-241-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPALDING",
        "first_name": "JULIA",
        "middle_name": "ROUSSEAU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.