Individual provider Active NPI

Jocelyn Rebecca McDonald, PA-C

  • Surgical Physician Assistant
  • New York, NY
National Provider Identifier
1508991704
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
011065 Issued in NY
Practice address
169 Madison Ave Ste 15370
New York, NY 10016-5101
Phone
(844) 484-7362
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110002555 VA
Surgical Physician Assistant 363AS0400X 011065 NY Primary

Addresses

Primary practice location

169 Madison Ave Ste 15370
New York, NY 10016-5101

Mailing address

1770 Central Ave Ste 8
Albany, NY 12205-4057
Phone (518) 869-9692

Other practice location 1

454 Maple Ave
Saratoga Springs, NY 12866-5532
Phone (151) 858-7114

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
I20090304000001 NY Practitioner - Physician Assistant 3375638141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
CTP Newton Medical PCGroup PAC ID 1456339639, 8 clinicians

Practice addresses (Care Compare)

1662 Central Ave
Albany, NY 12205-4057

1770 Central Ave
Albany, NY 12205-4057
Phone (518) 869-9692

588 New Loudon Rd
Latham, NY 12110-4000
Phone (518) 785-2662

Hospital & facility affiliations

  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110002555VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Openloop Healthcare Partners PC Physician Assistant CurrentSince Dec 1, 2024 Accepting new patients
CTP Newton Medical PC CurrentSince Mar 1, 2017 Accepting new patients
Riverside Physician Services, Inc. Past Accepting new patients

Locations

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

1770 Central Ave
Albany, NY 12205
Phone (518) 869-9692

1770 Central Ave
Ste 8
Albany, NY 12205

1662 Central Ave
Colonie, NY 12205
Phone (518) 240-1456

588 New Loudon Rd
Latham, NY 12110
Phone (518) 785-2662

28 Liberty St
New York, NY 10005
Phone (415) 205-1229

216 River St
Ste 3
Troy, NY 12180
Phone (844) 484-7362

Interoperability endpoints

  • Direct secure messaging: jocelyn.mcdonald@3169.securemail.prognocis.com

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.

Hospital & facility affiliations 2

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1508991704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 CENTRAL AVE STE 8",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054057",
            "telephone_number": "518-869-9692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 15370",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "844-484-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "454 Maple Ave",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128665532",
            "country_code": "US",
            "telephone_number": "151-858-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JOCELYN",
        "middle_name": "REBECCA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-07-18",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002555",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "011065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.