Individual provider Active NPI

Jaclyn Taylor Brigandi

  • Physician Assistant
  • Great Neck, NY
National Provider Identifier
1124742150
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
600 Northern Blvd Ste 300
Great Neck, NY 11021-5200
Phone
(516) 627-8717
NPI assigned
Oct 3, 2022
Last updated
Oct 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

600 Northern Blvd Ste 300
Great Neck, NY 11021-5200

Mailing address

600 Northern Blvd Ste 300
Great Neck, NY 11021-5200

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
I20221206000045 NY Practitioner - Physician Assistant 0547639064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercy College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 Mamaroneck Ave
Harrison, NY 10528-1633
Phone (203) 869-1145

600 Northern Blvd
Great Neck, NY 11021-5200
Phone (516) 627-8717

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
82.55
Promoting interoperability
100
Improvement activities
40
Cost
64.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Neurosurgery Specialists, PLLC Physician Assistant CurrentSince Nov 2, 2022 Accepting new patients
Orthopaedic & Neurosurgery Specialists, PLLC CurrentSince Nov 2, 2022 Accepting new patients

Locations

600 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 627-8717

500 Mamaroneck Ave
Harrison, NY 10528
Phone (203) 869-1145

532 New York Ave
Huntington, NY 11743
Phone (516) 627-8717

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1124742150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD STE 300",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD STE 300",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215200",
            "telephone_number": "516-627-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGANDI",
        "first_name": "JACLYN",
        "middle_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.