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REBECA WINE PA
NPI 1174388680
Physician Assistant in New York, NY

Active since February 14, 2024PECOS Enrolled
535 W 110TH ST APT 1E, NEW YORK, NY 10025(212) 280-4740 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2025, Feb 17, 2025 (2 updates tracked since 2025).

About Rebeca Wine Pa NPPES

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

REBECA WINE PA (NPI 1174388680) is an individual physician assistant in New York, New York and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174388680
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameREBECA WINECredential: PA
Location Address535 W 110TH ST APT 1ENew York, NY 10025-2021
Mailing Address968 E Lawn DrTeaneck, NJ 07666-6641 · (914) 318-5931
Phone(212) 280-4740
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 14, 2024
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1174388680 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.
535 W 110TH ST APT 1E, New York, NY 10025
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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 (PECOS)

Rebeca Wine Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507385747
PECOS Enrollment IDI20251104000880
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 10025 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 20

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

SUHASINI NEELAM SATISH PA-C
Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
RUMEN SLAVKOV M.D.
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
GEM-ESTELLE M LUCAS D.O.
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
ANNE ELIZABETH CAMPION NP
Nurse Practitioner (Adult Health)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
TALIA MARCUS PA
Physician Assistant (Medical)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
MS. WHITNEY JAMIL HOYT FNP
Nurse Practitioner (Family)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
RHONDA ASHLEY REID MD
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740
MR. KARYL JAN VERGARA SOTO NP
Nurse Practitioner
535 W 110TH ST APT 1E
NEW YORK, NY 10025
New York County (212) 280-4740

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 Rebeca Wine's NPI number?

The NPI number for Rebeca Wine is 1174388680. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Rebeca Wine located?

Rebeca Wine practices at 535 W 110th St Apt 1E, New York, NY 10025. The listed phone number is (212) 280-4740.

What is Rebeca Wine's specialty?

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

Is Rebeca Wine enrolled in Medicare?

Yes. Rebeca Wine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rebeca Wine was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.