PRINCY MARY PAULOSE PA-C
NPI 1609267707
Physician Assistant - Medical in Staten Island, NY

Active since February 10, 2015PECOS EnrolledAccepts Medicare Assignment
1050 CLOVE RD, STATEN ISLAND, NY 10301(718) 816-6440(718) 420-2718 Get Directions Write a Review

NPPES record last updated: November 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2017, Mar 30, 2016 (2 updates tracked since 2016).

About Princy Mary Paulose Pa-c NPPES

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

PRINCY MARY PAULOSE PA-C (NPI 1609267707) is an individual medical provider in Staten Island, New York, licensed in New York (018390-1) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1609267707
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NamePRINCY MARY PAULOSECredential: PA-C
Location Address1050 CLOVE RDStaten Island, NY 10301-3627
Mailing Address55 Water St Fl 12New York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556
Fax(718) 420-2718
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 10, 2015
Last NPPES UpdateNovember 10, 20172 updates tracked since enumeration
NPI 1609267707 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 · 018390-1
1050 CLOVE RD, Staten Island, NY 10301

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

Princy Mary Paulose 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 ID9335421015
PECOS Enrollment IDI20170113001026
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
13 services12 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier14 claims14 services$908.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Nurse Practitioner (Family)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine (Gastroenterology)
1050 CLOVE RD
STATEN ISLAND, NY 10301
Surgery
1050 CLOVE RD
STATEN ISLAND, NY 10301
Internal Medicine
1050 CLOVE RD, UCC
STATEN ISLAND, NY 10301
Pediatrics
1050 CLOVE RD
STATEN ISLAND, NY 10301
Obstetrics & Gynecology
1050 CLOVE RD
STATEN ISLAND, NY 10301

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 Princy Paulose's NPI number?

The NPI number for Princy Paulose is 1609267707. It was assigned to this individual provider in the NPPES registry on February 10, 2015.

Where is Princy Paulose located?

Princy Paulose practices at 1050 Clove Rd, Staten Island, NY 10301. The listed phone number is (718) 816-6440.

What is Princy Paulose's specialty?

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

Is Princy Paulose enrolled in Medicare?

Yes. Princy Paulose 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 Princy Paulose was last updated on November 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.