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NSIBIETOBONG JACOB EDET
NPI 1255654604
Physician Assistant in Bronx, NY

Active since March 11, 2010PECOS Enrolled
1182 WOODYCREST AVE, BRONX, NY 10452(646) 401-6433 Get Directions Write a Review

NPPES record last updated: March 11, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nsibietobong Jacob Edet NPPES

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

NSIBIETOBONG JACOB EDET (NPI 1255654604) is an individual physician assistant in Bronx, New York, licensed in New York (013906-1) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255654604
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNSIBIETOBONG JACOB EDET
Location Address1182 WOODYCREST AVEBronx, NY 10452-3722
Mailing Address1182 Woodycrest AveBronx, NY 10452-3722 · (646) 401-6433
Phone(646) 401-6433
Sole ProprietorYes
Enumeration DateMarch 11, 2010
✔ NPI 1255654604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 013906-1
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.
1182 WOODYCREST AVE, Bronx, NY 10452
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nsibietobong Jacob Edet is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10452 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 Nsibietobong Edet's NPI number?

The NPI number for Nsibietobong Edet is 1255654604. It was assigned to this individual provider in the NPPES registry on March 11, 2010.

Where is Nsibietobong Edet located?

Nsibietobong Edet practices at 1182 Woodycrest Ave, Bronx, NY 10452. The listed phone number is (646) 401-6433.

What is Nsibietobong Edet's specialty?

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

Is Nsibietobong Edet enrolled in Medicare?

Yes. Nsibietobong Edet is registered in the Medicare PECOS enrollment system.

What insurance does Nsibietobong Edet accept?

Health plans from Moda Health Plan, Inc. list Nsibietobong Edet as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nsibietobong Edet was last updated on March 11, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.