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ASHLEY BUBOLO
NPI 1730978214
Physician Assistant in New York, NY

Active since May 02, 2025PECOS Enrolled
419 W 114TH ST, NEW YORK, NY 10025(212) 523-4000 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ashley Bubolo NPPES

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

ASHLEY BUBOLO (NPI 1730978214) is an individual physician assistant in New York, New York, licensed in New York (034237) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1730978214
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameASHLEY BUBOLO
Location Address419 W 114TH STNew York, NY 10025-1710
Mailing Address419 W 114th StNew York, NY 10025-1710 · (212) 523-4000
Phone(212) 523-4000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 2, 2025
Last NPPES UpdateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
✔ NPI 1730978214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 034237
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
419 W 114TH ST, New York, NY 10025
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Bubolo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527562610
PECOS Enrollment IDI20250922000240
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.

Hospital Affiliations CMS Care Compare

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

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRIELLE ROBINSON
Physician Assistant
419 W 114TH ST
NEW YORK, NY 10025
New York County (212) 523-4000
MS. ADRIANA ZEPISHTA NP
Nurse Practitioner (Acute Care)
419 W 114TH ST
NEW YORK, NY 10025
New York County (212) 523-4000
MALLIKA VYAS PA-C
Surgery (Vascular Surgery)
419 W 114TH ST
NEW YORK, NY 10025
New York County (212) 523-4000
ELIANNA STRAUSS
Physician Assistant
419 W 114TH ST
NEW YORK, NY 10025
New York County (212) 523-4000
CHAVIVAH LEVINE PA-C
Physician Assistant
419 W 114TH ST
NEW YORK, NY 10025
New York County (212) 523-4000
COLLEEN KEATING PA-C
Physician Assistant
419 W 114TH ST
NEW YORK, NY 10025
New York County (212) 523-4000
WHITNEY SALLEY
Internal Medicine (Hospice and Palliative Medicine)
419 W 114TH ST
NEW YORK, NY 10025
New York County (212) 523-4000
RACHEL PERWIEN
Registered Nurse
419 W 114TH ST
NEW YORK, NY 10025
New York County (212) 523-4000

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 Ashley Bubolo's NPI number?

The NPI number for Ashley Bubolo is 1730978214. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Ashley Bubolo located?

Ashley Bubolo practices at 419 W 114th St, New York, NY 10025. The listed phone number is (212) 523-4000.

What is Ashley Bubolo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ashley Bubolo enrolled in Medicare?

Yes. Ashley Bubolo is registered in the Medicare PECOS enrollment system.

Is Ashley Bubolo affiliated with any hospitals?

According to CMS data, Ashley Bubolo is affiliated with Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Bubolo was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.