Active NPI
Jessica Ann Riepe, P.A.
- Physician Assistant
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 009143-1
- Practice address
- 1366 Victory Blvd
Staten Island, NY 10301-3907 - Phone
- (718) 944-2835
- Fax
- (718) 442-4073
- NPI assigned
- Jan 2, 2008
- Last updated
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- No
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 | 009143-1 | NY | Primary |
Addresses
Primary practice location
1366 Victory Blvd
Staten Island, NY 10301-3907
Mailing address
1366 Victory Blvd
Staten Island, NY 10301-3907
Phone (718) 442-8351
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 Jericho Tpke
East Northport, NY 11731-6207
Phone (631) 238-3065
377 S Oyster Bay Rd
Plainview, NY 11803-3323
Phone (516) 537-9061
5145 Nesconset Hwy
Suite 4
Port Jefferson Station, NY 11776-2118
Phone (347) 493-2945
527 Boulevard E
Yaphank, NY 11980-7512
Phone (631) 504-0427
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009143-1 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Brookview Medical Associates, PLLC | Current | Accepting new patients | |
| Samala R Swamy, MD, PC | Past | Accepting new patients | |
| Zahir H Rahman MD PLLC | Past | Accepting new patients | |
| Emergency Medicine Physicians of Suffolk County, PLLC | Past | Accepting new patients |
Locations
4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250
80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610
300 Community Dr
Manhasset, NY 11030
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- jessica.riepe@ghuc.eclinicaldirectplus.com
- jriepe69459@northwell.direct-ci.com
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
- General Practice Physician
- Bohemia, NY
- NPI 1871965855
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Emergency Medicine Physician
- Uniondale, NY
- NPI 1588098172
-
- Emergency Medicine Physician
- East Patchogue, NY
- NPI 1669783924
-
- Cardiovascular Disease Physician
- Staten Island, NY
- NPI 1003067091
-
- Cardiovascular Disease Physician
- Staten Island, NY
- NPI 1598413759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1760667323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1366 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013907",
"telephone_number": "718-442-8351",
"fax_number": "718-442-4073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1366 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013907",
"telephone_number": "718-944-2835",
"fax_number": "718-442-4073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEPE",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-02",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "009143-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.