JACQUELINE PREDMORE PA-C
NPI 1033660246
Physician Assistant - Medical in New York, NY

Q: What is Jacqueline Predmore's NPI number?

The NPI number for Jacqueline Predmore is 1033660246. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Q: What is Jacqueline Predmore's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since October 24, 2016PECOS EnrolledAccepts Medicare Assignment

1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: December 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 13, 2018, Oct 24, 2016 (2 updates tracked since 2016).

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About Jacqueline Predmore Pa-c NPPES

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

JACQUELINE PREDMORE PA-C (NPI 1033660246) is an individual medical provider in New York, New York, licensed in New York (022428-1) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Hudson Regional Hospital, and maintains a secondary practice location in Livingston.

NPPES Registry Identity

NPI1033660246

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJACQUELINE PREDMORECredential: PA-C

Location Address1275 YORK AVENew York, NY 10065-6007

Mailing Address36 Dunbar DrWest Windsor, NJ 08550-3226 · (609) 413-6168

Phone(212) 639-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateOctober 24, 2016

Last NPPES UpdateDecember 13, 20182 updates tracked since enumeration

✔ NPI 1033660246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in NY · 022428-1✔ Licensed in NJ · 25MP00413700

1275 YORK AVE, New York, NY 10065

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Secondary Practice Location 1

Location 122 Old Short Hills Rd, Suite 106Livingston, NJ 07039-5604 · Phone (609) 413-6168

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

Jacqueline Predmore Pa-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 ID7618250333

PECOS Enrollment IDI20170203000297

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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

115 services59 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

80 services76 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

68 services51 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

55 services55 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

51 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

50 services47 patients

Hospital Affiliations CMS Care Compare

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

Hudson Regional Hospital

Acute Care Hospitals · Secaucus, NJ

1/5 CMS rating

OwnershipProprietary

CMS Certification Number310118

Location55 Meadowlands PkwySecaucus, NJ 07094 · Hudson County

Emergency services

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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.

MRS. ZANA CORREA NP

Nurse Practitioner (Adult Health)