JACQUELINE MARJORIE LICHTENSTEIN PA-C - NPI 1679897060 - Physician Assistant in Bay Shore, NY

Q: What is Jacqueline Lichtenstein's NPI number?

The NPI number for Jacqueline Lichtenstein is 1679897060. It was assigned to this individual provider in the NPPES registry on March 15, 2010.

Q: What is Jacqueline Lichtenstein's specialty?

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

On this page

About Jacqueline Marjorie Lichtenstein Pa-c NPPES

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

JACQUELINE MARJORIE LICHTENSTEIN PA-C (NPI 1679897060) is an individual medical provider in Bay Shore, New York, licensed in New York (019016) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2009).

NPPES Registry Identity

NPI1679897060

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJACQUELINE MARJORIE LICHTENSTEINCredential: PA-C

Location Address340 HOWELLS RD STE 2BBay Shore, NY 11706-5322

Mailing Address100 Motor Parkway, Suite Ll8Hauppauge, NY 11788 · (833) 547-7463 · Fax (631) 248-5583

Phone(833) 547-7463

Fax(631) 318-9830

Sole ProprietorNo

Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2009

Enumeration DateMarch 15, 2010

Last NPPES UpdateOctober 4, 2024

NPPES CertifiedOctober 4, 2024

✔ NPI 1679897060 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 · 019016

340 HOWELLS RD STE 2B, Bay Shore, NY 11706

Open in Google Maps ↗

Secondary Practice Locations 3

Location 166 Commack Rd Ste 103Commack, NY 11725-3405 · Phone (833) 547-7463 · Fax (631) 318-9830

Location 2182 Main StHuntington, NY 11743-6987 · Phone (833) 547-7463 · Fax (631) 318-9830

Location 34250 Hempstead Tpke Ste 4Bethpage, NY 11714-5707 · Phone (833) 547-7463 · Fax (631) 318-9830

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

Jacqueline Marjorie Lichtenstein 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 ID2961672126

PECOS Enrollment IDI20160701000887

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.

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.

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers11 claims11 services$9.89 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 5

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

SAGAMORE MEDICAL PLLC

Pain Medicine (Interventional Pain Medicine)