MR. JOSE MEDINA PA
NPI 1720302466
Physician Assistant - Medical in Brooklyn, NY
About Mr. Jose Medina Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOSE MEDINA PA (NPI 1720302466) is an individual medical provider in Brooklyn, New York, licensed in New York (6801300) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2009).
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
Mr. Jose Medina 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
BROOKLYN, NY 11201
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 Jose Medina's NPI number?
The NPI number for Jose Medina is 1720302466. It was assigned to this individual provider in the NPPES registry on March 24, 2010.
Where is Jose Medina located?
Jose Medina practices at 81 Willoughby St 4th Floor, Brooklyn, NY 11201. The listed phone number is (718) 522-3399.
What is Jose Medina's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Jose Medina enrolled in Medicare?
Yes. Jose Medina 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 Jose Medina was last updated on March 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Mr. Jose Medina, PA · NPI 1720302466
Medical physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since March 24, 2010.
## Identity
- **NPI:** 1720302466 (Entity type: Individual)
- **Enumerated:** March 24, 2010
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 6801300 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 81 WILLOUGHBY ST, 4TH FLOOR, Brooklyn, NY 11201-5291
- **Phone:** (718) 522-3399 · **Fax:** (718) 522-1888
## 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 2009
## Record status
- **NPPES last updated:** March 24, 2010
- **Other identifiers:** Other 6801300 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1720302466) · Data from the CMS NPPES public registry.