Jerry A Sica, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

005358 Issued in NY

Practice address

1407 W 6TH St
Brooklyn, NY 11204-4802

Phone

(718) 236-6994

Fax

(718) 331-3871

NPI assigned

Feb 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: jsica60932@northwell.direct-ci.com
• Direct secure messaging: jsica@1670.securemail.mdnavigatorclinical.com

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1831163120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MANSION AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083504",
            "telephone_number": "718-605-4085",
            "fax_number": "718-331-3871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 W 6TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044802",
            "telephone_number": "718-236-6994",
            "fax_number": "718-331-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICA",
        "first_name": "JERRY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "005358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "005358",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01981057",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellaine Sibal, PTA
• Jocelyn Sibal
• Una Sibirceva, MD
• Siblings Home Care Services LLC
• Ariela Sibony, MFT
• Vincent Regis Sicari II, DO
• Rafael Abary Sicat, PT
• Gabriella Jean Sichenze, LMSW
• Chanie Sicherman
• Rachel Sicherman, M.S.

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.