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ALLISON OLIVIA JAEKLE
NPI 1093304594
Physician Assistant in Brooklyn, NY

Active since January 11, 2021PECOS Enrolled
7901 4TH AVE STE A20, BROOKLYN, NY 11209(718) 491-5800(718) 748-2151 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 27, 2022, Aug 8, 2022, Jan 11, 2021 (3 updates tracked since 2021).

About Allison Olivia Jaekle NPPES

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

ALLISON OLIVIA JAEKLE (NPI 1093304594) is an individual physician assistant in Brooklyn, New York, licensed in New York (026397-01) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Amagansett.

NPPES Registry Identity

NPI1093304594
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALLISON OLIVIA JAEKLE
Location Address7901 4TH AVE STE A20Brooklyn, NY 11209-3957
Mailing Address119 Park AveLake Ronkonkoma, NY 11779-1729 · (631) 557-3043
Phone(718) 491-5800
Fax(718) 748-2151
Sole ProprietorNo
Enumeration DateJanuary 11, 2021
Last NPPES UpdateSeptember 27, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1093304594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 026397-01
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.
Also ListedDermatologyTaxonomy 207N00000X · License 00000000000 (NY)
7901 4TH AVE STE A20, Brooklyn, NY 11209
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Secondary Practice Location 1

Location 1524 Montauk Hwy Ste 101Amagansett, NY 11930-2110 · Phone (631) 557-3043

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allison Olivia Jaekle 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 11209 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 9

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

SAITTA DERMATOLOGY PC
Dermatology
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800
DR. CHRISTOPHER JOSEPH MANCUSO DO, MHS
Dermatology
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (561) 716-2633
AURASH BINA
Dermatology
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800
ARTHUR JOHN HAUGHEY P.A.
Physician Assistant
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800
DR. VIGNESH RAMACHANDRAN MD
Dermatology
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (512) 431-2236
MR. SEAN ALLEN CANTORNA THOMPSON FNP
Nurse Practitioner (Family)
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800
MR. VITALY KRAMER PA-C
Physician Assistant
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800
MALLORY DES CHAMPS
Physician Assistant (Medical)
7901 4TH AVE STE A20
BROOKLYN, NY 11209
Kings County (718) 491-5800

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 Allison Jaekle's NPI number?

The NPI number for Allison Jaekle is 1093304594. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Allison Jaekle located?

Allison Jaekle practices at 7901 4th Ave Ste A20, Brooklyn, NY 11209. The listed phone number is (718) 491-5800.

What is Allison Jaekle's specialty?

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

Is Allison Jaekle enrolled in Medicare?

Yes. Allison Jaekle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Allison Jaekle was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.