JACQUELINE ROSENBAUM PA
NPI 1710496757
Physician Assistant - Surgical in Albany, NY

Active since September 21, 2017PECOS EnrolledAccepts Medicare Assignment
80.78/100
CMS Quality Rating
123 EVERETT RD, ALBANY, NY 12205(518) 701-2000(518) 701-2139 Get Directions Write a Review

NPPES record last updated: February 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 8, 2020, Sep 21, 2017 (2 updates tracked since 2017).

About Jacqueline Rosenbaum Pa NPPES

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

JACQUELINE ROSENBAUM PA (NPI 1710496757) is an individual surgical provider in Albany, New York, licensed in New York (021349) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710496757
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJACQUELINE ROSENBAUMCredential: PA
Location Address123 EVERETT RDAlbany, NY 12205-1407
Mailing Address123 Everett RdAlbany, NY 12205-1407 · (518) 701-2000 · Fax (518) 701-2139
Fax(518) 701-2139
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 21, 2017
Last NPPES UpdateFebruary 8, 20202 updates tracked since enumeration
NPI 1710496757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in NY · 021349
123 EVERETT RD, Albany, NY 12205

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 Rosenbaum Pa 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 ID7113283128
PECOS Enrollment IDI20171108000217
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 Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability98
Improvement Activities40
Cost63

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.

Audiologist
123 EVERETT RD
ALBANY, NY 12205
Physician Assistant
123 EVERETT RD
ALBANY, NY 12205
Otolaryngology
123 EVERETT RD
ALBANY, NY 12205
Audiologist
123 EVERETT RD
ALBANY, NY 12205
Audiologist
123 EVERETT RD
ALBANY, NY 12205
Physician Assistant
123 EVERETT RD
ALBANY, NY 12205
Audiologist
123 EVERETT RD
ALBANY, NY 12205
Audiologist
123 EVERETT RD
ALBANY, NY 12205

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 Rosenbaum's NPI number?

The NPI number for Jacqueline Rosenbaum is 1710496757. It was assigned to this individual provider in the NPPES registry on September 21, 2017.

Where is Jacqueline Rosenbaum located?

Jacqueline Rosenbaum practices at 123 Everett Rd, Albany, NY 12205. The listed phone number is (518) 701-2000.

What is Jacqueline Rosenbaum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jacqueline Rosenbaum enrolled in Medicare?

Yes. Jacqueline Rosenbaum 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.

When was this NPI record last updated?

The NPPES record for Jacqueline Rosenbaum was last updated on February 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.