Individual provider Active NPI

Jacqueline Figueroa

  • Physician Assistant
  • New Brunswick, NJ
National Provider Identifier
1992833487
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00435100 Issued in NJ
Practice address
Saint Peter'S University Hospital
254 Easton Ave
New Brunswick, NJ 08901
Phone
(732) 745-8600
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009894 NY
Physician Assistant 363A00000X 25MP00435100 NJ Primary

Addresses

Primary practice location

Saint Peter'S University Hospital
254 Easton Ave
New Brunswick, NJ 08901

Mailing address

33 W Saddle River Rd
Waldwick, NJ 07463-2433
Phone (917) 304-1563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130607000088 NY Practitioner - Physician Assistant 5799923405 Reassigns benefits to 1 organization
I20210108002514 NJ Practitioner - Physician Assistant 5799923405 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009894NYMDMental Health Counselor
25MP00435100NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services - St. Mary'S Passaic LLC CurrentSince Jun 1, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 18, 2013 Accepting new patients
Montefiore Medical Center CurrentSince Jul 18, 2013 Accepting new patients
Prime Healthcare Services - St. Mary'S Passaic, LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

111 Central Ave
Newark, NJ 07102
Phone (973) 877-5060

350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300

111 E 210th St
Bronx, NY 10467

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

Interoperability endpoints

  • Direct secure messaging: jacqueline.figueroa.1@24989.direct.athenahealth.com
  • Direct secure messaging: jfigueroa19233@sbhny.direct-ci.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1992833487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W SADDLE RIVER RD",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074632433",
            "telephone_number": "917-304-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SAINT PETER'S UNIVERSITY HOSPITAL",
            "address_2": "254 EASTON AVE",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "08901",
            "telephone_number": "732-745-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIGUEROA",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009894",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00435100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.