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

Active since February 27, 2023PECOS EnrolledAccepts Medicare Assignment
110 E 55TH ST FL 14, NEW YORK, NY 10022(212) 283-3000 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Feb 27, 2023 (2 updates tracked since 2023).

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 Address110 E 55TH ST FL 14New York, NY 10022-4585
Mailing Address4170 City AvePhiladelphia, PA 19131-1610 · (215) 871-6772
Phone(212) 283-3000
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2023
Enumeration DateFebruary 27, 2023
Last NPPES UpdateOctober 17, 20252 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
✔ 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.
110 E 55TH ST FL 14, New York, NY 10022
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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 10022 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 8

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

DR. SUPRIYA RASTOGI MD
Dermatology
110 E 55TH ST FL 14
NEW YORK, NY 10022
New York County (212) 283-3000
MARY ELIZABETH PRIBOR MSN, NP-C
Nurse Practitioner (Family)
110 E 55TH ST FL 14
NEW YORK, NY 10022
New York County (212) 283-3000
MORIAH DAVIS PHYSICIAN ASSISTANT
Physician Assistant
110 E 55TH ST FL 14
NEW YORK, NY 10022
New York County (212) 283-3000
JASMIN BAFAIZ NP
Nurse Practitioner (Adult Health)
110 E 55TH ST FL 14
NEW YORK, NY 10022
New York County (646) 665-3631
SARAH KABBERT
Nurse Practitioner (Family)
110 E 55TH ST FL 14
NEW YORK, NY 10022
New York County (212) 283-3000
JOSHUA D ZUCKERMAN, MD FACS PC
Plastic Surgery
110 E 55TH ST FL 14
NEW YORK, NY 10022
New York County (212) 231-9897
SCHWEIGER DERMATOLOGY PLLC
Dermatology
110 E 55TH ST FL 14
NEW YORK, NY 10022
New York County (929) 470-5354
DR. JERIEL KESSEL WEITZ DO
Dermatology
110 E 55TH ST FL 14
NEW YORK, NY 10022
New York County (212) 283-0003

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 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.

Where is Emma Poulshock located?

Emma Poulshock practices at 110 E 55th St Fl 14, New York, NY 10022. The listed phone number is (212) 283-3000.

What is Emma Poulshock's specialty?

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

Is Emma Poulshock enrolled in Medicare?

Yes. Emma Poulshock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Emma Poulshock was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.