Active NPI
Jaymar Nixon, PA
- Physician Assistant
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 030963
- Practice address
- 2015 Grand Concourse
Bronx, NY 10453-4303 - Phone
- (718) 583-7736
- Fax
- (718) 537-6180
- NPI assigned
- Oct 23, 2023
- Sex
- Male
- 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 | 030963 | NY | Primary |
Addresses
Primary practice location
2015 Grand Concourse
Bronx, NY 10453-4303
Mailing address
2626 Halperin Ave
Bronx, NY 10461-2631
Phone (718) 618-0401
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1047 Southern Blvd
Bronx, NY 10459-3427
Phone (646) 346-7920
1470 Metropolitan Ave
Bronx, NY 10462-7446
Phone (718) 571-9270
1613 Westchester Ave
Bronx, NY 10472-2914
Phone (718) 571-9407
2178 White Plains Rd
Bronx, NY 10462-1406
Phone (718) 489-3555
2902 3Rd Ave
Bronx, NY 10455-2601
Phone (718) 571-9276
32 Westchester SQ
Bronx, NY 10461-3514
Phone (646) 661-6668
336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627
3780 E Tremont Ave
Bronx, NY 10465-2434
Phone (646) 518-8248
571 E 138TH St
Bronx, NY 10454-2702
Phone (718) 571-9421
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Obstetrics & Gynecology | Current | Accepting new patients |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| City Medical of Upper East Side PLLC | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Family Medicine | Past | Accepting new patients |
Locations
3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345
2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200
2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400
8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207
8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
234 E 85th St
New York, NY 10028
Phone (212) 241-6585
5 E 98th St
New York, NY 10029
Phone (212) 241-3986
150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119
336 E 86th St
New York, NY 10028
Phone (212) 772-3627
Interoperability endpoints
- jnixon3953578@nychhc.direct-ci.com
- jaymar.nixon.1@2983.direct.athenahealth.com
Organizations & group practices 14
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.
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1801277629
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Rehabilitation Practitioner
- New York, NY
- NPI 1477899078
-
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Obstetrics & Gynecology
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Urgent Care Clinic/Center
- Bronx, NY
- NPI 1841607298
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851345946
-
- Emergency Medicine Physician
- New York, NY
- NPI 1679083984
-
- Urgent Care Clinic/Center
- Greenvale, NY
- NPI 1427722511
-
- Urgent Care Clinic/Center
- New York, NY
- NPI 1740913763
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1821860008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 HALPERIN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104612631",
"telephone_number": "718-618-0401",
"fax_number": "347-479-1303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 GRAND CONCOURSE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534303",
"telephone_number": "718-583-7736",
"fax_number": "718-537-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "JAYMAR",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-23",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "030963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.