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DIANNE JAGGON RPA
NPI 1417187568
Physician Assistant - Medical in Astoria, NY

Active since July 23, 2009PECOS Enrolled
4904 19TH AVE, ASTORIA, NY 11105(718) 777-3494 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dianne Jaggon Rpa NPPES

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

DIANNE JAGGON RPA (NPI 1417187568) is an individual medical provider in Astoria, New York, licensed in New York (006585) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417187568
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDIANNE JAGGONCredential: RPA
Location Address4904 19TH AVEAstoria, NY 11105-1002
Mailing Address4904 19th AveAstoria, NY 11105-1002 · (718) 777-3494
Phone(718) 777-3494
Sole ProprietorYes
Enumeration DateJuly 23, 2009
Last NPPES UpdateNovember 4, 2024
NPPES CertifiedNovember 4, 2024
✔ NPI 1417187568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 006585
4904 19TH AVE, Astoria, NY 11105
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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 (PECOS)

Dianne Jaggon Rpa 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.

Other Providers at the Same Location NPPES 20

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

JEAN LUC BERNARD RPA
Physician Assistant
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
JOSEPH MCCREADY RPA
Physician Assistant
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
ARLIE MASSILLON RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
JANICE COLLEY RPA
Physician Assistant
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. TADEUSZ WITKOWSKI MD
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
SANDRA MCEACHRANCE DDS
Dentist
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
MS. ALICIA NICHOLLS RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
KRISTINA BADALOVA PHYSICIAN ASSISTANT
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (347) 774-7000

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 Dianne Jaggon's NPI number?

The NPI number for Dianne Jaggon is 1417187568. It was assigned to this individual provider in the NPPES registry on July 23, 2009.

Where is Dianne Jaggon located?

Dianne Jaggon practices at 4904 19th Ave, Astoria, NY 11105. The listed phone number is (718) 777-3494.

What is Dianne Jaggon's specialty?

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

Is Dianne Jaggon enrolled in Medicare?

Yes. Dianne Jaggon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dianne Jaggon was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.