NPPES file of Aug 9, 2026

Stacy Jacob

Physician Assistant · Staten Island, NY

Stacy Jacob is a physician assistant with a practice address in Staten Island, New York, and NPI 1104333178, issued on Dec 29, 2017. Check the license (New York 329541-1, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1104333178
Name
Stacy Jacob
Primary taxonomy
Physician Assistant 363A00000X
License numbers
329541-1 NY
25MP00995000 NJ
Self-reported in NPPES; status is on the state search
Practice location
475 Seaview Ave, Staten Island, NY 10305
Phone
(718) 266-9000
Enumerated
Dec 29, 2017
Record last updated
Feb 2, 2026
Medicare enrollment
Enrolled (PECOS I20230323000913); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →

Also registered at 475 Seaview Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Dalya Abdel-Atti, MDDiagnostic Radiology Physician1003499112
  2. Hala Abdul-Al, M.D.Anatomic Pathology Physician1376934893
  3. Muhammad AbdullahStudent in an Organized Health Care Education/Training Program1124878343
  4. Ali Abou Yassine, M.D.Critical Care Medicine (Internal Medicine) Physician1689953846
  5. Abdelrahman Abouelnas, DOStudent in an Organized Health Care Education/Training Program1508616558
  6. Amy Abraham, FNPFamily Nurse Practitioner1588540371

Verify Stacy Jacob in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 329541-1    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. North Shore-Lij Medical PCManhasset, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Stacy Jacob among 15,555 physician assistant records in New York

Stacy Jacob 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 2017, is newer than 47% of them.

  • NPI issued2017 · 47% of these records are older, 49% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 52% of these records are
  • Graduated2022 · median 2018 among the 8,158 with a school on file
  • Record last updated2026 · 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).

388 physician assistant records list a practice address in Staten Island

They are 388 of the 12,351 NPPES records with a practice address in Staten Island, and 15,555 physician assistant records in New York.

All 15,555 in New York → Every provider in Staten Island → Physician Assistant nationwide →

The 8 physician assistant records with the nearest ZIP codes

  1. Jennifer Becker, PAStaten Island, NY 103051891898755
  2. Robert Carlucci, MDStaten Island, NY 103051386603405
  3. Cecilia Castro, PAStaten Island, NY 103051801856364
  4. Stefanie Fadel, P.A.Staten Island, NY 103051952496481
  5. Lynn Guadagno, PAStaten Island, NY 103051083630958
  6. Tara Igneri, PAStaten Island, NY 103051326141219
  7. Jamie Juliano, PACStaten Island, NY 103051740296870
  8. Michele Lawton, PA-CStaten Island, NY 103051962428565

Common questions

What is Stacy Jacob's NPI number?

Stacy Jacob's National Provider Identifier (NPI) is 1104333178, issued on Dec 29, 2017. An NPI identifies a provider in billing; it is not a license.

Where is Stacy Jacob located?

The NPPES record lists a practice address at 475 Seaview Ave, Staten Island, NY, 10305. Phone: (718) 266-9000. Providers update this record themselves, so call before visiting.

How can I verify Stacy Jacob's license?

NPPES lists New York license number 329541-1, 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.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

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.