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: July 19, 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
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

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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10025 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $102.04
  • Minimum New Patient Price $65.69
  • Maximum New Patient Price $198.19
  • Average New Patient Copayment $25.51
  • Minimum New Patient Copayment $16.42
  • Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $81.44
  • Minimum Established Patient Price $21.2
  • Maximum Established Patient Price $160.66
  • Average Established Patient Copayment $20.36
  • Minimum Established Patient Copayment $5.3
  • Maximum Established Patient Copayment $40.16

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant (Medical)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Internal Medicine
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Nurse Practitioner (Women's Health)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Nurse Practitioner (Women's Health)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Nurse Practitioner (Family)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Family Medicine
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant (Medical)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Family Medicine
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Internal Medicine
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Family Medicine
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Family Medicine
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Psychiatry & Neurology (Psychiatry)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant (Medical)
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025
Physician Assistant
535 W 110TH ST APT 1E
NEW YORK, NY 10025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174388680, enumerated as an "individual" on February 14, 2024.

The provider is located at 535 W 110TH ST APT 1E NEW YORK, NY 10025 and the phone number is (212) 280-4740.

Physician Assistant with taxonomy code 363A00000X.