Jacqueline A Aurigema, RPAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

004308 Issued in NY

Practice address

5225 Route 347 Ste 15
Port Jefferson Station, NY 11776-2054

Phone

(631) 331-1000

Fax

(631) 928-7436

NPI assigned

Apr 9, 2007

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

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

Practice roles

Locations

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.

• Preferred Professional Medical Care PC

  • Internal Medicine Physician
  • Ronkonkoma, NY
  • NPI 1083916670
  Medicare reassignment
• Port Jefferson Internal Medicine Assoc

  • Internal Medicine Physician
  • Port Jefferson Station, NY
  • NPI 1497856256
  NPD

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750404307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 ROUTE 347 STE 15",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762054",
            "telephone_number": "631-331-1000",
            "fax_number": "631-928-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 ROUTE 347 STE 15",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762054",
            "telephone_number": "631-331-1000",
            "fax_number": "631-928-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AURIGEMA",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "004308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Anne Argeropoulos
• Thomas E. Arnold, M.D.
• Gia Aslanidis
• Deema Attar, D.D.S.
• Sobner Aubourg, MD, PA-C
• Lydia A. Avallone-Balfour, MA/CCC-SLP
• Away From Home Adult Day Care, LLC
• Away From Home Senior Day Care
• Diane Jane Axelrod, D.D.S.
• Marissa T Ayasse, MD

• Medical Physician Assistant in Port Jefferson Station, NY
• Providers in Port Jefferson Station, 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 Jul 8, 2007; 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.