Active NPI
Jessica Taylor Pirrello, PA-C
- Physician Assistant
- Jersey City, NJ
National Provider Identifier
1851079834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00798400
- Practice address
- 355 Grand St
Jersey City, NJ 07302-4321 - Phone
- (201) 915-2000
- NPI assigned
- Jul 10, 2023
- Last updated
- Apr 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | 25MP00798400 | NJ | Primary |
Addresses
Primary practice location
355 Grand St
Jersey City, NJ 07302-4321
Mailing address
9 Demolino Dr
Rockaway, NJ 07866-2268
Phone (973) 879-3289
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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)
225 Williamson St
Elizabeth, NJ 07202-3625
Phone (908) 994-5422
355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.07 of 100
- Quality
- 76.5
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MP00798400 | NJ | MD | Physician Assistant |
Organizations & group practices 1
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.
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- Somerset, NJ
- NPI 1912510041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1851079834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DEMOLINO DR",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078662268",
"telephone_number": "973-879-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-915-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIRRELLO",
"first_name": "JESSICA",
"middle_name": "TAYLOR",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-10",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00798400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.