Skip to content

Mercy Medical Center

NPI 1770597395ActiveOrganization· Physician Assistant· Rockville Centre, NY

Physician Assistant in Rockville Centre, New York, registered in NPPES in July 2006. The authorized official on file is Jacqueline Brathwaite, Credentials Director.

Overview

NPI1770597395
StatusActive
Entity typeOrganization
NPI issuedJul 28, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physician Assistant providers in Rockville Centre

All Physician Assistant providers in New York →