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JACQUELINE CZWOJDAK PA-C
NPI 1285186320
Physician Assistant - Medical in Corning, NY

Active since October 25, 2016PECOS Enrolled
88 E TIOGA AVE STE 102, CORNING, NY 14830(607) 684-6115(607) 684-6120 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 3, 2020, Aug 20, 2018, Jan 12, 2017 and 1 more (4 updates tracked since 2016).

About Jacqueline Czwojdak Pa-c NPPES

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

JACQUELINE CZWOJDAK PA-C (NPI 1285186320) is an individual medical provider in Corning, New York, licensed in New York (020282-1) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285186320
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACQUELINE CZWOJDAKCredential: PA-C
Location Address88 E TIOGA AVE STE 102Corning, NY 14830-2882
Mailing Address135 N Union StOlean, NY 14760-2736 · (716) 375-7500
Phone(607) 684-6115
Fax(607) 684-6120
Sole ProprietorYes
Enumeration DateOctober 25, 2016
Last NPPES UpdateSeptember 3, 20204 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
✔ NPI 1285186320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 020282-1
Also ListedPhysician AssistantTaxonomy 363A00000X · License 020282 (NY)
88 E TIOGA AVE STE 102, Corning, NY 14830
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13773 Luker Rd Ste BCortland, NY 13045-9398 · Phone (607) 662-4059 · Fax (607) 662-4241
Location 22430 N Triphammer Rd Ste BIthaca, NY 14850-1160 · Phone (607) 379-6072 · Fax (607) 379-6075

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Czwojdak Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers21 claims65 services$17.51 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$6.62 avg. paid by Medicare
Injection, immune globulin (xembify), 100 mg J1558
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier13 claims5,200 services$10.69 avg. paid by Medicare
Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg J1561
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims480 services$35.08 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers20 claims113 services$2.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MR. JOHN DAVID GORDON PAC
Physician Assistant
88 E TIOGA AVE STE 102, 88 TIOGA AVENUE, STE 102
CORNING, NY 14830
Steuben County (607) 684-6115

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 Jacqueline Czwojdak's NPI number?

The NPI number for Jacqueline Czwojdak is 1285186320. It was assigned to this individual provider in the NPPES registry on October 25, 2016.

Where is Jacqueline Czwojdak located?

Jacqueline Czwojdak practices at 88 E Tioga Ave Ste 102, Corning, NY 14830. The listed phone number is (607) 684-6115.

What is Jacqueline Czwojdak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jacqueline Czwojdak enrolled in Medicare?

Yes. Jacqueline Czwojdak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jacqueline Czwojdak was last updated on September 3, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.