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JACQUELINE MARIE SCHROM PHYSICIAN ASSISTANT
NPI 1609606664
Physician Assistant in West Islip, NY

Active since August 05, 2024PECOS Enrolled
1175 MONTAUK HWY, WEST ISLIP, NY 11795(631) 422-9600 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 13, 2025, Aug 5, 2024 (2 updates tracked since 2024).

About Jacqueline Marie Schrom Physician Assistant NPPES

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

JACQUELINE MARIE SCHROM PHYSICIAN ASSISTANT (NPI 1609606664) is an individual physician assistant in West Islip, New York, licensed in New York (032722) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609606664
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACQUELINE MARIE SCHROMCredential: PHYSICIAN ASSISTANT
Location Address1175 MONTAUK HWYWest Islip, NY 11795-4939
Mailing Address1175 Montauk HwyWest Islip, NY 11795-4939 · (631) 665-3376
Phone(631) 422-9600
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 5, 2024
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1609606664 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 · 032722
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.
1175 MONTAUK HWY, West Islip, NY 11795
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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)

Jacqueline Marie Schrom Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739683558
PECOS Enrollment IDI20250916002108
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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 20

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

PINNACLE PHYSICAL MEDICINE AND REHABILITATION, PC
Physical Medicine & Rehabilitation
1175 MONTAUK HWY, SUITE 6
WEST ISLIP, NY 11795
Suffolk County (631) 422-5371
DR. NITIN RAJKUMAR MARIWALLA MD, MPH, MS
Neurological Surgery
1175 MONTAUK HWY, STE 3
WEST ISLIP, NY 11795
Suffolk County (631) 500-9400
MRS. ANDREA JO GIBBONS R.P.A.-C.
Physician Assistant
1175 MONTAUK HWY, SUITE 4
WEST ISLIP, NY 11795
Suffolk County (631) 422-9600
DR. RAJKUMAR G MARIWALLA M.D.
Internal Medicine (Gastroenterology)
1175 MONTAUK HWY, SUITE #3
WEST ISLIP, NY 11795
Suffolk County (631) 669-1171
TRUE NORTH MEDICAL OF SUFFOLK, PC
Neurological Surgery
1175 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (833) 666-6066
MEDICAL SERVICES OF MOUNT SINAI, P.C.
Neurological Surgery
1175 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (833) 666-6066
TRUE NORTH MEDICAL OF MANHASSET, PC
Neurological Surgery
1175 MONTAUK HWY
WEST ISLIP, NY 11795
Suffolk County (833) 666-6066
INDERJEET SINGH NAGPAL MD
Pediatrics
1175 MONTAUK HWY, STE4
WEST ISLIP, NY 11795
Suffolk County (631) 422-9600

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 Jacqueline Schrom's NPI number?

The NPI number for Jacqueline Schrom is 1609606664. It was assigned to this individual provider in the NPPES registry on August 5, 2024.

Where is Jacqueline Schrom located?

Jacqueline Schrom practices at 1175 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 422-9600.

What is Jacqueline Schrom's specialty?

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

Is Jacqueline Schrom enrolled in Medicare?

Yes. Jacqueline Schrom is registered in the Medicare PECOS enrollment system.

Is Jacqueline Schrom affiliated with any hospitals?

According to CMS data, Jacqueline Schrom is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jacqueline Schrom was last updated on May 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.