Jacqueline Woodburn, PA
Physician Assistant · East Patchogue, NY
Jacqueline Woodburn, PA is a physician assistant with a practice address in East Patchogue, New York, and NPI 1710780028, issued on Mar 31, 2025. Check the license (New York 033652, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Jacqueline Woodburn
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 033652 NY
Self-reported in NPPES; status is on the state search - Practice location
- 129 Sunrise Hwy W, East Patchogue, NY 11772
- Phone
- (631) 230-5774
- Enumerated
- Mar 31, 2025
- Record last updated
- Mar 31, 2025
- Medicare enrollment
- Enrolled (PECOS I20250604001208); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →
Verify Jacqueline Woodburn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 033652Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- City Medical OF Upper East Side PLLCPatchogue, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Jacqueline Woodburn among 15,555 physician assistant records in New York
Jacqueline Woodburn, PA is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 89% of them.
- NPI issued2025 · 89% of these records are older, 4% newer
- In a Medicare fileYes · 74% of these records are
- In the CMS Doctors and Clinicians fileYes · 52% of these records are
- Graduated2025 · median 2018 among the 8,158 with a school on file
- Record last updated2025 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
19 physician assistant records list a practice address in East Patchogue
They are 19 of the 451 NPPES records with a practice address in East Patchogue, and 15,555 physician assistant records in New York.
All 15,555 in New York → Every provider in East Patchogue → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Richard Diana, PAPatchogue, NY 117721750326674
- Stacey Dimitriou-Ciaccio, RPA CPatchogue, NY 117721396788766
- Jennifer Fincke, PAPatchogue, NY 117721588607956
- David Jackson, PAPatchogue, NY 117721013950302
- Ronie Jean-Philippe, RPA-CPatchogue, NY 117721699846188
- Lynn Kramer, PAPatchogue, NY 117721205879673
- Ann Landsman, PAPatchogue, NY 117721659324747
- Susan Mackey, D.C., P.A.-CPatchogue, NY 117721427080563
Common questions
What is Jacqueline Woodburn, PA's NPI number?
Jacqueline Woodburn, PA's National Provider Identifier (NPI) is 1710780028, issued on Mar 31, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Jacqueline Woodburn, PA located?
The NPPES record lists a practice address at 129 Sunrise Hwy W, East Patchogue, NY, 11772. Phone: (631) 230-5774. Providers update this record themselves, so call before visiting.
How can I verify Jacqueline Woodburn, PA's license?
NPPES lists New York license number 033652, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.