MS. ANSU JACOB - NPI 1679994529 - Physician Assistant in New York, NY

Q: What is Ansu Jacob's NPI number?

The NPI number for Ansu Jacob is 1679994529. It was assigned to this individual provider in the NPPES registry on December 19, 2013.

Q: What is Ansu Jacob'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 Ansu Jacob was last updated on March 27, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ms. Ansu Jacob NPPES

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

MS. ANSU JACOB (NPI 1679994529) is an individual physician assistant in New York, New York, licensed in Pennsylvania (MA056682) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1679994529

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. ANSU JACOB

Location Address156 WILLIAM ST RM 303New York, NY 10038-5307

Mailing Address2046 Gorman StPhiladelphia, PA 19116-3914 · (267) 393-3496

Phone(888) 803-3770

Fax(888) 803-3331

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 19, 2013

Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration

NPPES CertifiedMarch 27, 2026

✔ NPI 1679994529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in PA · MA056682✔ Licensed in NY · 028078

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.

156 WILLIAM ST RM 303, New York, NY 10038

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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. Ansu Jacob 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 ID7214155308

PECOS Enrollment IDI20251205000369

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 10038 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 10

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

RICHELLE LEE BROWN PHYSICIAN ASSISTANT

Physician Assistant