Active NPI
Grace Jarrett, PA-C
- Physician Assistant
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 028578
- Practice address
- 100 Livingston St # 3L
Brooklyn, NY 11201-5127 - Phone
- (347) 797-5005
- Fax
- (347) 212-0308
- NPI assigned
- Apr 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 028578 | NY | Primary |
Addresses
Primary practice location
100 Livingston St # 3L
Brooklyn, NY 11201-5127
Mailing address
45 Northern Blvd
Greenvale, NY 11548-1346
Phone (347) 797-5005
Other practice location 1
116 E 68th St Apt 1C
New York, NY 10065-5995
Phone (212) 570-9595
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
45 Northern Blvd
Greenvale, NY 11548-1346
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 028578 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobby Buka, M.D., P.C. | Current | Accepting new patients | |
| Derm Specs of PA PLLC | Past | Accepting new patients | |
| Out East Medical | Past | Accepting new patients | |
| Atlas Infectious Disease Practice PLLC | Past | Accepting new patients | |
| Mount Sinai Hospital | Past | Accepting new patients |
Locations
3179 Steinway St
Astoria, NY 11103
1163 Myrtle Ave
Brooklyn, NY 11206
1027 46th Ave
Fl 1
Long Island City, NY 11101
625 10th Ave
New York, NY 10036
214 Sullivan St
New York, NY 10012
2121 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (718) 534-8190
1425 2nd Ave
New York, NY 10021
3531 Long Beach Rd
Oceanside, NY 11572
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/BFCDAA
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 and National Provider Directory roles.
-
- Dermatology Physician
- New York, NY
- NPI 1134349954
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- Dermatology Physician
- Oceanside, NY
- NPI 1730757311
-
- Infectious Disease Physician
- Atlantis, FL
- NPI 1326655846
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1528823507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1679216329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 NORTHERN BLVD",
"city": "GREENVALE",
"state": "NY",
"postal_code": "115481346",
"telephone_number": "347-797-5005",
"fax_number": "347-212-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LIVINGSTON ST # 3L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015127",
"telephone_number": "347-797-5005",
"fax_number": "347-212-0308"
}
],
"practiceLocations": [
{
"address_1": "116 E 68th St Apt 1C",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100655995",
"country_code": "US",
"telephone_number": "212-570-9595",
"fax_number": "347-212-0308",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARRETT",
"first_name": "GRACE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-19",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "028578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.