Individual provider Active NPI

Jason Benjamin Pillet, DO

  • Emergency Medicine Physician
  • Staten Island, NY
National Provider Identifier
1902039647
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
264683 Issued in NY
Practice address
355 Bard Ave
Dept of Emergency Med
Staten Island, NY 10310-1664
Phone
(718) 818-2995
NPI assigned
Aug 28, 2009
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 264683 NY Primary
Emergency Medicine Physician 207P00000X 34.009869 OH

Addresses

Primary practice location

355 Bard Ave
Dept of Emergency Med
Staten Island, NY 10310-1664

Mailing address

355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-2995

Other practice location 1

4065 Center Rd
Brunswick, OH 44212-2918
Phone (330) 558-0123

Other practice location 2

18697 Bagley Rd
Middleburg Heights, OH 44130-3417
Phone (440) 816-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110609000831 OH Practitioner - Emergency Medicine 4082891585 Reassigns benefits to 2 organizations
I20130321000416 NY Practitioner - Emergency Medicine 4082891585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WRH Physicians, IncGroup PAC ID 0840342366, 149 clinicians

Practice addresses (Care Compare)

1900 23Rd St
Cuyahoga Falls, OH 44223-1404
Phone (330) 971-7246

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
264683NYMDEmergency Medicine Physician
34.009869OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Nes Medical Services of New York PC Emergency Medicine CurrentSince Jan 14, 2013 Accepting new patients
Nes Medical Services of New York PC Emergency Medicine Current Accepting new patients
WRH Physicians, Inc. Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Nes Medical Services of New York PC Emergency Medicine CurrentSince Jan 14, 2013 Accepting new patients
Lake Hospital System Inc. Past Accepting new patients
Emergency Physician Associates of Ohio, Inc Emergency Medicine Past Accepting new patients
Lake Hospital System Past Accepting new patients
Lake Hospital System Inc Past Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

455 E Bay Dr
Long Beach, NY 11561
Phone (516) 432-8000

1400 W Main St
Bellevue, OH 44811
Phone (330) 563-0641

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1902039647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "address_2": "DEPT OF EMERGENCY MED",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101664",
            "telephone_number": "718-818-2995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4065 Center Rd",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442122918",
            "country_code": "US",
            "telephone_number": "330-558-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18697 Bagley Rd",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441303417",
            "country_code": "US",
            "telephone_number": "440-816-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PILLET",
        "first_name": "JASON",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-28",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "264683",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.009869",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.