JACKY SALOMON PETION DR.
NPI 1700525854
Student in an Organized Health Care Education/Training Program in Brooklyn, NY
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 student in an organized health care education/training program in Brooklyn, New York 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
Specialties & Licenses
Other Identifiers 1
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
Jacky Salomon Petion Dr. 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.
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, NYFrequently 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 Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacky Petion enrolled in Medicare?
Yes. Jacky Petion 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.
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 May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jacky Salomon Petion, DR. · NPI 1700525854
Student in an Organized Health Care Education/Training Program provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since May 27, 2022.
## Identity
- **NPI:** 1700525854 (Entity type: Individual)
- **Enumerated:** May 27, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 BROOKDALE PLZ, BROOKLYN, Brooklyn, NY 11212-3139
- **Phone:** (718) 613-4334
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** May 27, 2022
- **Other identifiers:** Other 16241951562491 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1700525854) · Data from the CMS NPPES public registry.