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JACLYN ROMANO
NPI 1114630019
Physician Assistant in East Setauket, NY

Active since January 05, 2023PECOS EnrolledAccepts Medicare Assignment
16 VARSITY BLVD, EAST SETAUKET, NY 11733(631) 921-6955 Get Directions Write a Review

NPPES record last updated: July 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2024, Jan 5, 2023 (2 updates tracked since 2023).

About Jaclyn Romano NPPES

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

JACLYN ROMANO (NPI 1114630019) is an individual physician assistant in East Setauket, New York and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114630019
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACLYN ROMANO
Location Address16 VARSITY BLVDEast Setauket, NY 11733-1040
Mailing Address16 Varsity BlvdEast Setauket, NY 11733-1040
Phone(631) 921-6955
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 5, 2023
Last NPPES UpdateJuly 5, 20242 updates tracked since enumeration
NPPES CertifiedJuly 5, 2024
✔ NPI 1114630019 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
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16 VARSITY BLVD, East Setauket, NY 11733
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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

Jaclyn Romano 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 ID9436670684
PECOS Enrollment IDI20250305000671
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

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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.

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 Jaclyn Romano's NPI number?

The NPI number for Jaclyn Romano is 1114630019. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Jaclyn Romano located?

Jaclyn Romano practices at 16 Varsity Blvd, East Setauket, NY 11733. The listed phone number is (631) 921-6955.

What is Jaclyn Romano's specialty?

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

Is Jaclyn Romano enrolled in Medicare?

Yes. Jaclyn Romano 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 Jaclyn Romano affiliated with any hospitals?

According to CMS data, Jaclyn Romano is affiliated with St Charles Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Romano was last updated on July 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.