ELLEN THERESA JAY
NPI 1063107704
Social Worker - Clinical in Woodbury, NY

Active since April 10, 2023PECOS EnrolledAccepts Medicare Assignment
157 FOX HOLLOW RD, WOODBURY, NY 11797(516) 707-8677 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ellen Theresa Jay NPPES

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

ELLEN THERESA JAY (NPI 1063107704) is an individual clinical provider in Woodbury, New York and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (1968).

NPPES Registry Identity

NPI1063107704
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELLEN THERESA JAY
Location Address157 FOX HOLLOW RDWoodbury, NY 11797-1606
Mailing Address157 Fox Hollow RdWoodbury, NY 11797-1606 · (516) 707-8677
Sole ProprietorYes
Medical School CMSOtherGraduated 1968
Enumeration DateApril 10, 2023
NPPES CertifiedApril 8, 2023
NPI 1063107704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

157 FOX HOLLOW RD, Woodbury, NY 11797

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Ellen Theresa Jay 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 ID9830639673
PECOS Enrollment IDI20240909000722
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 11797 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
$0.00 typical visit price
range $67.40 – $203.53
Typical copayment $0.00 (range $16.85 – $50.88)
Most-billed visit code NA
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.

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 Ellen Jay's NPI number?

The NPI number for Ellen Jay is 1063107704. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Ellen Jay located?

Ellen Jay practices at 157 Fox Hollow Rd, Woodbury, NY 11797. The listed phone number is (516) 707-8677.

What is Ellen Jay's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ellen Jay enrolled in Medicare?

Yes. Ellen Jay 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.

When was this NPI record last updated?

The NPPES record for Ellen Jay was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.