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JACQUELYN VICTORY DEJESUS
NPI 1154153765
Physician Assistant in New York, NY

Active since August 14, 2024PECOS EnrolledAccepts Medicare Assignment
525 E 68TH ST # 179, NEW YORK, NY 10065(212) 746-5454 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacquelyn Victory Dejesus NPPES

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

JACQUELYN VICTORY DEJESUS (NPI 1154153765) is an individual physician assistant in New York, New York and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1154153765
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELYN VICTORY DEJESUS
Location Address525 E 68TH ST # 179New York, NY 10065-4870
Mailing Address480 Route 17mMiddletown, NY 10940-4525
Phone(212) 746-5454
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 14, 2024
NPPES CertifiedAugust 14, 2024
✔ NPI 1154153765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
525 E 68TH ST # 179, New York, NY 10065
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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

Jacquelyn Victory Dejesus 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 ID6103346986
PECOS Enrollment IDI20250224002031
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 10065 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.

Other Providers at the Same Location NPPES 13

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

ISABELLA JOELLE RYDER
Nurse Practitioner (Acute Care)
525 E 68TH ST # 179
NEW YORK, NY 10065
New York County (212) 746-5454
HAMZA IJAZ MD
Emergency Medicine
525 E 68TH ST # 179
NEW YORK, NY 10065
New York County (703) 340-7700
SARAH ELLEN PERELMAN MD
Emergency Medicine
525 E 68TH ST # 179
NEW YORK, NY 10065
New York County (215) 510-9708
JUSTINE SARAH KO M.D.
Emergency Medicine (Sports Medicine)
525 E 68TH ST # 179
NEW YORK, NY 10065
New York County (212) 746-0282
CAITLIN O'ROURKE
Physician Assistant
525 E 68TH ST # 179
NEW YORK, NY 10065
New York County (212) 746-5026
CHRISTOPHER JOSEPH CLOHESSY MSN
Nurse Practitioner (Acute Care)
525 E 68TH ST # 179
NEW YORK, NY 10065
New York County (247) 244-1784
TRISHA MAE MAGPANTAY MSN, RN, AGACNP-BC
Nurse Practitioner (Acute Care)
525 E 68TH ST # 179
NEW YORK, NY 10065
New York County (212) 746-5454
MIA MATSUDA KANAK MD, MPH
Pediatrics
525 E 68TH ST # 179
NEW YORK, NY 10065
New York County (866) 463-2778

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 Dejesus's NPI number?

The NPI number for Jacquelyn Dejesus is 1154153765. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Jacquelyn Dejesus located?

Jacquelyn Dejesus practices at 525 E 68th St # 179, New York, NY 10065. The listed phone number is (212) 746-5454.

What is Jacquelyn Dejesus's specialty?

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

Is Jacquelyn Dejesus enrolled in Medicare?

Yes. Jacquelyn Dejesus 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 Dejesus was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.