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JASON DEPASQUALE PA
NPI 1053714188
Physician Assistant in New York, NY

Active since October 03, 2014PECOS Enrolled
89.89/100
CMS Quality Rating
30 BROAD ST FL 45, NEW YORK, NY 10004(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Feb 5, 2024, Nov 15, 2023 and 1 more (4 updates tracked since 2023).

About Jason Depasquale Pa NPPES

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

JASON DEPASQUALE PA (NPI 1053714188) is an individual physician assistant in New York, New York, licensed in Georgia (7407) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053714188
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJASON DEPASQUALECredential: PA
Location Address30 BROAD ST FL 45New York, NY 10004-2942
Mailing Address44 Peachtree Pl Nw Unit 1426Atlanta, GA 30309-5412 · (315) 439-3739
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorNo
Enumeration DateOctober 3, 2014
Last NPPES UpdateApril 24, 20254 updates tracked since enumeration
NPPES CertifiedApril 24, 2025
✔ NPI 1053714188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in GA · 7407✔ Licensed in NY · 029953✔ Licensed in NC · 0010-13873✔ Licensed in MA · PA9383✔ Licensed in TX · PA18233
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.
30 BROAD ST FL 45, New York, NY 10004
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13950 Austell RdAustell, GA 30106-1121 · Phone (770) 732-3886
Location 23515 Camp Creek Pkwy Ste 110East Point, GA 30344-8411 · Phone (404) 344-7337 · Fax (404) 344-8338

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Depasquale Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10004 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality79.78
Promoting Interoperability100
Improvement Activities40

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.

RESHMA H. PATEL P.A.
Physician Assistant
30 BROAD ST FL 45
NEW YORK, NY 10004
New York County (888) 663-6331
CHANCE TURNER RN, MSN, FNP-C
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
New York County (212) 530-0630
SUSAN E JEWETT PA
Physician Assistant (Medical)
30 BROAD ST FL 45
NEW YORK, NY 10004
New York County (212) 530-0630
ANGELA YAWN NP
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
New York County (212) 530-0630
ALLISON KAY HYLAND MSN, FNP-C
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
New York County (888) 663-6331
KRISTINA HERLIHY FUHRMANN
Nurse Practitioner
30 BROAD ST FL 45
NEW YORK, NY 10004
New York County (212) 530-0630
MRS. JESSICA GARLAND JOSEPH NP-C
Nurse Practitioner (Family)
30 BROAD ST FL 45
NEW YORK, NY 10004
New York County (212) 530-0630
JENNIFER ELLEN ROWLINSON PA
Physician Assistant (Medical)
30 BROAD ST FL 45
NEW YORK, NY 10004
New York County (888) 663-6331

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 Jason Depasquale's NPI number?

The NPI number for Jason Depasquale is 1053714188. It was assigned to this individual provider in the NPPES registry on October 3, 2014.

Where is Jason Depasquale located?

Jason Depasquale practices at 30 Broad St Fl 45, New York, NY 10004. The listed phone number is (888) 663-6331.

What is Jason Depasquale's specialty?

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

Is Jason Depasquale enrolled in Medicare?

Yes. Jason Depasquale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jason Depasquale was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.