MRS. JACQUELYN URBAN PA-C
NPI 1134598972
Physician Assistant in New York, NY
About Mrs. Jacquelyn Urban Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JACQUELYN URBAN PA-C (NPI 1134598972) is an individual physician assistant in New York, New York, licensed in New York (019088-1) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Jacquelyn Urban 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Jacquelyn Urban's NPI number?
The NPI number for Jacquelyn Urban is 1134598972. It was assigned to this individual provider in the NPPES registry on September 23, 2015.
Where is Jacquelyn Urban located?
Jacquelyn Urban practices at 630 W 168th St, New York, NY 10032. The listed phone number is (212) 305-2500.
What is Jacquelyn Urban's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Jacquelyn Urban enrolled in Medicare?
Yes. Jacquelyn Urban 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 Jacquelyn Urban was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Mrs. Jacquelyn Urban, PA-C · NPI 1134598972
Physician Assistant physician in New York, New York. Individual provider, active in the CMS NPPES registry since September 23, 2015.
## Identity
- **NPI:** 1134598972 (Entity type: Individual)
- **Enumerated:** September 23, 2015
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 019088-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 630 W 168TH ST, New York, NY 10032-3725
- **Phone:** (212) 305-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** January 29, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1134598972) · Data from the CMS NPPES public registry.