JACKY SALOMON PETION DR.
NPI 1700525854
Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry in Brooklyn, NY

Q: What is Jacky Petion's NPI number?

The NPI number for Jacky Petion is 1700525854. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Q: What is Jacky Petion's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

Q: When was this NPI record last updated?

The NPPES record for Jacky Petion was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 27, 2022PECOS Enrolled

1 BROOKDALE PLZ, BROOKLYN, BROOKLYN, NY 11212(718) 613-4334 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 26, 2026, May 27, 2022 (2 updates tracked since 2022).

On this page

About Jacky Salomon Petion Dr. NPPES

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

JACKY SALOMON PETION DR. (NPI 1700525854) is an individual behavioral neurology & neuropsychiatry provider in Brooklyn, New York, licensed in Massachusetts (1026480) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Brookdale Hospital Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1700525854

Entity TypeIndividualMale

Primary Taxonomy2084B0040X

Provider Legal NameJACKY SALOMON PETIONCredential: DR.

Location Address1 BROOKDALE PLZ, BROOKLYNBrooklyn, NY 11212-3139

Mailing Address60 Fenwood Rd Fl 9Boston, MA 02115-6128 · (781) 416-8414

Phone(718) 613-4334

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateMay 27, 2022

Last NPPES UpdateAugust 26, 20262 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1700525854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Behavioral Neurology & NeuropsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084B0040X

License✔ Licensed in MA · 1026480

Definition

Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues.

1 BROOKDALE PLZ, BROOKLYN, Brooklyn, NY 11212

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Other Identifiers 1

Other16241951562491NY · New York Id

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacky Salomon Petion Dr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608353693

PECOS Enrollment IDI20260121002718

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacky Petion reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interborough Developmental And Consultation Center, Inc.

3.9 mi

Case Management

1623 KINGS HWY
Brooklyn, NY 11229

Reassigned Medicare billing, New York enrollment
306 clinicians in this Medicare group

NPI 1588611842 (718) 375-1200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Brookdale Hospital Medical Center

Acute Care Hospitals · Brooklyn, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330233

Location1 Brookdale PlazaBrooklyn, NY 11212 · Kings County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11212 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jacky Petion's NPI number?

The NPI number for Jacky Petion is 1700525854. It was assigned to this individual provider in the NPPES registry on May 27, 2022.

Where is Jacky Petion located?

Jacky Petion practices at 1 Brookdale Plz, Brooklyn, Brooklyn, NY 11212. The listed phone number is (718) 613-4334.

What is Jacky Petion's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Behavioral Neurology & Neuropsychiatry, with taxonomy code 2084B0040X.

Is Jacky Petion enrolled in Medicare?

Yes. Jacky Petion is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacky Petion's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacky Petion reassigns Medicare benefits to Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacky Petion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacky Petion accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jacky Petion as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jacky Petion affiliated with any hospitals?

According to CMS data, Jacky Petion is affiliated with Brookdale Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Jacky Petion was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.