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JACLYN PAIGE STUKAT GREN PA-C
NPI 1396185609
Physician Assistant in New York, NY

Active since July 01, 2013
60 WALL ST, 34 FLOOR, NEW YORK, NY 10005(212) 250-7753(212) 797-0808 Get Directions Write a Review

NPPES record last updated: December 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaclyn Paige Stukat Gren Pa-c NPPES

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

JACLYN PAIGE STUKAT GREN PA-C (NPI 1396185609) is an individual physician assistant in New York, New York, licensed in Pennsylvania (MA053902) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1396185609
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACLYN PAIGE STUKAT GRENCredential: PA-C
Location Address60 WALL ST, 34 FLOORNew York, NY 10005-2836
Mailing Address60 Wall St, 34 FloorNew York, NY 10005-2836 · (212) 250-7753 · Fax (212) 797-0808
Phone(212) 250-7753
Fax(212) 797-0808
Sole ProprietorNo
Enumeration DateJuly 1, 2013
Last NPPES UpdateDecember 14, 2015
✔ NPI 1396185609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · MA053902✔ Licensed in NY · 018631-1
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.
60 WALL ST, New York, NY 10005
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Other Providers at the Same Location NPPES

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

PREMISE HEALTH OF NEW YORK MEDICAL, P.C
Clinic/Center
60 WALL ST
NEW YORK, NY 10005
New York County (212) 250-9226

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 Jaclyn Stukat Gren's NPI number?

The NPI number for Jaclyn Stukat Gren is 1396185609. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Jaclyn Stukat Gren located?

Jaclyn Stukat Gren practices at 60 Wall St 34 Floor, New York, NY 10005. The listed phone number is (212) 250-7753.

What is Jaclyn Stukat Gren's specialty?

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

When was this NPI record last updated?

The NPPES record for Jaclyn Stukat Gren was last updated on December 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.