JACQUELINE MARIE GRIBKO PA
NPI 1730757626
Physician Assistant - Surgical in Roslyn Heights, NY

Active since June 16, 2021PECOS EnrolledAccepts Medicare Assignment
125 MINEOLA AVE STE 200, ROSLYN HEIGHTS, NY 11577(800) 633-8446 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Marie Gribko Pa NPPES

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

JACQUELINE MARIE GRIBKO PA (NPI 1730757626) is an individual surgical provider in Roslyn Heights, New York and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1730757626
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJACQUELINE MARIE GRIBKOCredential: PA
Location Address125 MINEOLA AVE STE 200Roslyn Heights, NY 11577-2042
Mailing Address279 Charles AveMassapequa Park, NY 11762-1802 · (516) 426-4293
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 16, 2021
NPPES CertifiedJune 16, 2021
NPI 1730757626 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
125 MINEOLA AVE STE 200, Roslyn Heights, NY 11577

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 Marie Gribko 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 ID8426446097
PECOS Enrollment IDI20211101002087
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
23 services19 patients

Hospital Affiliations CMS Care Compare

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

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

Physician Assistant
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Surgery
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Dietitian, Registered
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Dietitian, Registered
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Physician Assistant
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Surgery
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577
Dietitian, Registered
125 MINEOLA AVE STE 200
ROSLYN HEIGHTS, NY 11577

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 Gribko's NPI number?

The NPI number for Jacqueline Gribko is 1730757626. It was assigned to this individual provider in the NPPES registry on June 16, 2021.

Where is Jacqueline Gribko located?

Jacqueline Gribko practices at 125 Mineola Ave Ste 200, Roslyn Heights, NY 11577. The listed phone number is (800) 633-8446.

What is Jacqueline Gribko's specialty?

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

Is Jacqueline Gribko enrolled in Medicare?

Yes. Jacqueline Gribko 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 Jacqueline Gribko affiliated with any hospitals?

According to CMS data, Jacqueline Gribko is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Jacqueline Gribko was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.