1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Physician Assistant
  6. NPI Profile

JAEDA WILLIAMS PA
NPI 1972327773
Physician Assistant in New York, NY

Active since November 09, 2024PECOS Enrolled
462 1ST AVE, NEW YORK, NY 10016(212) 562-5555 Get Directions Write a Review

NPPES record last updated: November 16, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Nov 16, 2024, Nov 9, 2024 (2 updates tracked since 2024).

About Jaeda Williams Pa NPPES

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

JAEDA WILLIAMS PA (NPI 1972327773) is an individual physician assistant in New York, New York, licensed in New York (032783) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grovetown.

NPPES Registry Identity

NPI1972327773
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJAEDA WILLIAMSCredential: PA
Location Address462 1ST AVENew York, NY 10016-9196
Mailing Address474 Brantley Cove CirGrovetown, GA 30813-5968 · (706) 434-9567
Phone(212) 562-5555
Sole ProprietorNo
Enumeration DateNovember 9, 2024
Last NPPES UpdateNovember 16, 20242 updates tracked since enumeration
NPPES CertifiedNovember 16, 2024
✔ NPI 1972327773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 032783✔ Licensed in GA · 12586
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.
462 1ST AVE, New York, NY 10016
Open in Google Maps ↗

Secondary Practice Location 1

Location 1474 Brantley Cove CirGrovetown, GA 30813-5968 · Phone (706) 434-9567

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaeda Williams Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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.

DR. ROBERT MICHAEL LEMBO MD
Pediatrics (Hospice and Palliative Medicine)
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-6425
MISS SHARONA DEBORAH KASHIMALLAK RPA-C
Physician Assistant (Medical)
462 1ST AVE
NEW YORK, NY 10016
New York County (516) 578-9951
ALEXANDRA KVERNLAND MD
Psychiatry & Neurology (Vascular Neurology)
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-4141
RACHEL ZOE BAUMSTEIN DPT
Physical Therapist
462 1ST AVE, BELLEVUE HOSPITAL CENTER
NEW YORK, NY 10016
New York County (212) 562-7059
ALIXANDRA LIN PETERSEN DPT
Physical Therapist
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-7059
ABIGAIL LLOYD
Social Worker
462 1ST AVE
NEW YORK, NY 10016
New York County (212) 562-4141
TALYA BUXBAUM
Physician Assistant
462 1ST AVE
NEW YORK, NY 10016
New York County (516) 309-3239
MR. ALEX DASILVA NURSE PRACTITIONER
Nurse Practitioner (Psychiatric/Mental Health)
462 1ST AVE
NEW YORK, NY 10016
New York County (646) 236-0823

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 Jaeda Williams's NPI number?

The NPI number for Jaeda Williams is 1972327773. It was assigned to this individual provider in the NPPES registry on November 9, 2024.

Where is Jaeda Williams located?

Jaeda Williams practices at 462 1st Ave, New York, NY 10016. The listed phone number is (212) 562-5555.

What is Jaeda Williams's specialty?

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

Is Jaeda Williams enrolled in Medicare?

Yes. Jaeda Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaeda Williams was last updated on November 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.