Jamie Austin Pacilio, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00584400 Issued in NJ

Practice address

211 Broad St Ste 207
Red Bank, NJ 07701-2009

Phone

(732) 576-3727

Fax

(630) 487-2411

NPI assigned

Sep 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

TMS Clinical Services of New Jersey LLCGroup PAC ID 8426451824, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• TMS Clinical Services of New Jersey LLC

  • Psychiatry Physician
  • Warren, NJ
  • NPI 1700469160
  Medicare reassignment Care Compare group
• Brick Psychiatric Services Inc

  • Psychiatry Physician
  • Manasquan, NJ
  • NPI 1992818777
  Medicare reassignment

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1295376473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BROAD ST STE 207",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012009",
            "telephone_number": "732-576-3727",
            "fax_number": "630-487-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BROAD ST STE 207",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077012009",
            "telephone_number": "732-576-3727",
            "fax_number": "630-487-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACILIO",
        "first_name": "JAMIE",
        "middle_name": "AUSTIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2024-01-01",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00584400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer C Osorto, BCBA
• Kristina Pachman Ouano, AGACNP
• Michelle Lynn Ozut, RDN
• Rachel M Ozut, MS, RD
• Zaneta Pabon, PA-C
• Mary Jean Padalino, LCSW, MS, CNS
• Jamie Pagdonsolan, LCSW
• Theresa Ann Paladino, D.O.
• Laura C Palmeri
• Pamela Roussell Physical Therapy and Wellness

• Physician Assistant in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.