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JACLYN ROBERTS MD
NPI 1922006238
Specialist in Brooklyn, NY

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
5014 FORT HAMILTON PKWY, BROOKLYN, NY 11219(718) 283-8965(718) 635-8977 Get Directions Write a Review

NPPES record last updated: January 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaclyn Roberts Md NPPES

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

JACLYN ROBERTS MD (NPI 1922006238) is an individual specialist in Brooklyn, New York, licensed in New York (191880-1) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Staten Island University Hospital, and is a graduate of State University Of New York Downstate Medical Center (1991).

NPPES Registry Identity

NPI1922006238
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJACLYN ROBERTSCredential: MD
Location Address5014 FORT HAMILTON PKWYBrooklyn, NY 11219-3324
Mailing Address5014 Fort Hamilton PkwyBrooklyn, NY 11219-3324 · (718) 283-8965 · Fax (718) 635-8977
Phone(718) 283-8965
Fax(718) 635-8977
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1991
Enumeration DateJuly 11, 2005
Last NPPES UpdateJanuary 22, 2010
✔ NPI 1922006238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 191880-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5014 FORT HAMILTON PKWY, Brooklyn, NY 11219
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Other Identifiers 3

Medicaid01873418NY
Medicare ID-Type Unspecified240532NY
Medicare UPING54642NY

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

Jaclyn Roberts Md 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 ID1355397415
PECOS Enrollment IDI20100524000076
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.

Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

MRS. SHOSHANA HABERMAN MD, PHD, FACOG
Specialist
5014 FORT HAMILTON PKWY
BROOKLYN, NY 11219
Kings County (718) 283-8943
TRACI BURGESS MD
Specialist
5014 FORT HAMILTON PKWY
BROOKLYN, NY 11219
Kings County (718) 283-7979
DR. NELLI FISHER M.D.
Obstetrics & Gynecology
5014 FORT HAMILTON PKWY
BROOKLYN, NY 11219
Kings County (718) 283-7979

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 Jaclyn Roberts's NPI number?

The NPI number for Jaclyn Roberts is 1922006238. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Jaclyn Roberts located?

Jaclyn Roberts practices at 5014 Fort Hamilton Pkwy, Brooklyn, NY 11219. The listed phone number is (718) 283-8965.

What is Jaclyn Roberts's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jaclyn Roberts enrolled in Medicare?

Yes. Jaclyn Roberts 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 Jaclyn Roberts affiliated with any hospitals?

According to CMS data, Jaclyn Roberts is affiliated with Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Jaclyn Roberts was last updated on January 22, 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.