Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. EMMA JUSTINE POULSHOCK PA-C
NPI 1447959564
Physician Assistant in New York, NY

Q: What is Emma Poulshock's NPI number?

The NPI number for Emma Poulshock is 1447959564. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Q: What is Emma Poulshock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emma Poulshock was last updated on August 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days 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.

Active since February 27, 2023PECOS Enrolled

332 E 14TH ST, NEW YORK, NY 10003(212) 481-3333(212) 253-4242 Get Directions Write a Review

NPPES record last updated: August 20, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 20, 2026, Jun 12, 2024, Feb 27, 2023 (3 updates tracked since 2023).

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About Ms. Emma Justine Poulshock Pa-c NPPES

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

MS. EMMA JUSTINE POULSHOCK PA-C (NPI 1447959564) is an individual physician assistant in New York, New York, licensed in New York (030944) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (2023).

NPPES Registry Identity

NPI1447959564

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. EMMA JUSTINE POULSHOCKCredential: PA-C

Location Address332 E 14TH STNew York, NY 10003-4243

Mailing Address332 E 14th StNew York, NY 10003-4243 · (212) 481-3333 · Fax (212) 253-4242

Phone(212) 481-3333

Fax(212) 253-4242

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2023

Enumeration DateFebruary 27, 2023

Last NPPES UpdateAugust 20, 20263 updates tracked since enumeration

NPPES CertifiedAugust 20, 2026

✔ NPI 1447959564 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 · 030944

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.

332 E 14TH ST, New York, NY 10003

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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

Ms. Emma Justine Poulshock Pa-c 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 ID1658722673

PECOS Enrollment IDI20240103004293

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 10003 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$81.44 typical visit price

range $21.20 – $160.66

Typical copayment $20.36 (range $5.30 – $40.16)

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.

Other Providers at the Same Location NPPES 11

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

ANAM AZEEM M.D.

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