Individual provider Active NPI

Grace Jarrett, PA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1679216329
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
028578 Issued in NY
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

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921002866 NY Practitioner - Physician Assistant 3678958071 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
028578NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Buka, M.D., P.C. CurrentSince Aug 1, 2022 Accepting new patients
Derm Specs of PA PLLC PastSince Feb 25, 2024 Accepting new patients
Out East Medical PastSince Jun 15, 2021 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

  • FHIR API: https://api.platform.athenahealth.com/22363/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.