Individual provider Active NPI

Jesse Markowitz, PA

  • Surgical Physician Assistant
  • Cliffside Park, NJ
National Provider Identifier
1639559479
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00364100 Issued in NJ
Practice address
663 Palisade Ave
Ste 302
Cliffside Park, NJ 07010-3012
Phone
(201) 833-9500
Fax
(201) 862-0095
NPI assigned
Jun 7, 2015
Last updated
May 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00364100 NJ Primary

Addresses

Primary practice location

663 Palisade Ave
Ste 302
Cliffside Park, NJ 07010-3012

Mailing address

784 Franklin Ave
Ste 250
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151027000201 NJ Practitioner - Physician Assistant 3476862871 Reassigns benefits to 1 organization
I20161114001901 NY Practitioner - Physician Assistant 3476862871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Kayal Orthopaedic, PLLCGroup PAC ID 7911385950, 16 clinicians
Kayal Medical Group, LLCGroup PAC ID 2961894019, 76 clinicians

Practice addresses (Care Compare)

11 Holt Dr
Stony Point, NY 10980-1919
Phone (845) 942-4355

260 Old Hook Rd
Suite 401
Westwood, NJ 07675-3123
Phone (844) 777-0910

266 Harristown Rd
Glen Rock, NJ 07452-3321
Phone (844) 777-0910

543 45TH St
Union City, NJ 07087-2615
Phone (844) 777-0910

784 Franklin Ave
Franklin Lakes, NJ 07417-1306
Phone (844) 777-0910

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019440NYMDSpeech-Language Pathologist
25MP00364100NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 15, 2016 Accepting new patients
Montefiore Medical Center CurrentSince Sep 15, 2016 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

490 Route 304
New City, NY 10956
Phone (845) 507-0477

Interoperability endpoints

  • Direct secure messaging: jmarkowitz258146@ahs.direct-ci.com

Organizations & group practices 5

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 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": "1433635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1639559479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 FRANKLIN AVE",
            "address_2": "STE 250",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074171306",
            "telephone_number": "844-777-0910",
            "fax_number": "201-560-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "663 PALISADE AVE",
            "address_2": "STE 302",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070103012",
            "telephone_number": "201-833-9500",
            "fax_number": "201-862-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOWITZ",
        "first_name": "JESSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-07",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00364100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

Verify at the official NPI Registry.