Jessica Jeong, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

019444 Issued in NY

Practice address

357 Genesee St Ste 2
Oneida, NY 13421-2658

Phone

(315) 363-2123

Fax

(315) 363-2549

NPI assigned

Aug 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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.

• Emergency Care Services of New York, P.C.

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1639236656
  Medicare reassignment
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1326424888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 GENESEE ST STE 2",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212658",
            "telephone_number": "315-363-2123",
            "fax_number": "315-363-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 GENESEE ST STE 2",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212658",
            "telephone_number": "315-363-2123",
            "fax_number": "315-363-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEONG",
        "first_name": "JESSICA",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "019444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04383982",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian M Ives, PA
• Sarah A Jacopino, FNP
• James Louis Pfeiff (Womens Health Assoc of Oneida LLC)
• Jessica M Jeannotte, RN
• Andrew Jennings
• Jerome E Brislin OD PC
• Jerry L Baker
• John J. Costello, Jr, DO, PLLC
• April Anne Johnson, LPN
• Jessica L Johnson, LPN

• Medical Physician Assistant in Oneida, NY
• Providers in Oneida, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.