MS. JINETTE GRULLON MPAS RPA-C
NPI 1033238910
Physician Assistant in Bronx, NY

Active since March 29, 2007PECOS EnrolledAccepts Medicare Assignment
111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Jinette Grullon Mpas Rpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JINETTE GRULLON MPAS RPA-C (NPI 1033238910) is an individual physician assistant in Bronx, New York, licensed in New York (011113) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Healthalliance Hospital Marys Avenue Campus, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1033238910
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. JINETTE GRULLONCredential: MPAS RPA-C
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing AddressPo Box 418Mamaroneck, NY 10543-0418 · (347) 964-5279 · Fax (347) 964-5279
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 2005
Enumeration DateMarch 29, 2007
Last NPPES UpdateMarch 17, 2018
NPI 1033238910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 011113
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

111 E 210TH ST, Bronx, NY 10467

Other Names 1

Former Name (1)Ms. Jinette Villanueva Mpas Rpa-c

Secondary Practice Locations 3

Location 184 N Highland AveNyack, NY 10960-1831 · Phone (845) 770-9980
Location 2747 E Tremont AveBronx, NY 10457-5101 · Phone (718) 466-4662 · Fax (718) 294-3065
Location 31037 Main StPeekskill, NY 10566-2913 · Phone (914) 734-8800

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Jinette Grullon Mpas Rpa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749362853
PECOS Enrollment IDI20080129000250
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Healthalliance Hospital Marys Avenue Campus

Acute Care Hospitals · Kingston, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330224
Location105 Mary's AvenueKingston, NY 12401 · Ulster County
Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330234
Location100 Woods RdValhalla, NY 10595 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nuclear Medicine
111 E 210TH ST
BRONX, NY 10467
Pediatrics (Pediatric Endocrinology)
111 E 210TH ST
BRONX, NY 10467
Internal Medicine (Critical Care Medicine)
111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467
Emergency Medicine
111 E 210TH ST
BRONX, NY 10467
Pathology (Anatomic Pathology & Clinical Pathology)
111 E 210TH ST, MONTEFIORE MED CTR DEPT PATHOLOGY
BRONX, NY 10467
Pediatrics
111 E 210TH ST, ROSENTHAL 4
BRONX, NY 10467
Internal Medicine
111 E 210TH ST, NW6
BRONX, NY 10467
Surgery
111 E 210TH ST, ROSENTHAL 2
BRONX, NY 10467

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jinette Grullon's NPI number?

The NPI number for Jinette Grullon is 1033238910. It was assigned to this individual provider in the NPPES registry on March 29, 2007. The provider is also known as Ms. Jinette Villanueva Mpas Rpa-C.

Where is Jinette Grullon located?

Jinette Grullon practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4321.

What is Jinette Grullon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jinette Grullon enrolled in Medicare?

Yes. Jinette Grullon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jinette Grullon affiliated with any hospitals?

According to CMS data, Jinette Grullon is affiliated with Healthalliance Hospital Marys Avenue Campus and Westchester Medical Center.

When was this NPI record last updated?

The NPPES record for Jinette Grullon was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.