ELAINE DE LA ROSA JEREZ PA
NPI 1326721416
Family Medicine in Jamaica, NY

Q: What is Elaine De La Rosa Jerez's NPI number?

The NPI number for Elaine De La Rosa Jerez is 1326721416. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Q: What is Elaine De La Rosa Jerez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 07, 2023PECOS EnrolledAccepts Medicare Assignment

10504 SUTPHIN BLVD, JAMAICA, NY 11435(855) 681-8700 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Elaine De La Rosa Jerez Pa NPPES

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

ELAINE DE LA ROSA JEREZ PA (NPI 1326721416) is an individual family medicine provider in Jamaica, New York, licensed in New York (030292) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1326721416

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELAINE DE LA ROSA JEREZCredential: PA

Location Address10504 SUTPHIN BLVDJamaica, NY 11435-5022

Mailing Address10504 Sutphin BlvdJamaica, NY 11435-5022 · (855) 681-8700

Phone(855) 681-8700

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 7, 2023

Last NPPES UpdateSeptember 28, 2023

NPPES CertifiedSeptember 28, 2023

✔ NPI 1326721416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 030292

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 030292 (NY)

Also ListedPhysician AssistantTaxonomy 363A00000X · License 030292 (NY)

10504 SUTPHIN BLVD, Jamaica, NY 11435

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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 and accepts Medicare assignment

Elaine De La Rosa Jerez Pa 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 ID648623249

PECOS Enrollment IDI20240131000841

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 11435 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

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 10

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

RACHEL SUSAN STIENE L.C.S.W.

Social Worker (Clinical)