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Deactivated NPI 1316034804 Deactivated / Inactive NPI Male Practitioner

Jessy Ayala , PA

Physician Assistant • Bronx, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jessy Ayala has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2006
NPI Deactivation Date June 25, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Jessy Ayala, PA was a registered Physician Assistant practicing in Bronx, NY. Throughout an active medical career spanning 20 years, Jessy Ayala provided care at the practice location at 291 E 149TH ST until profile deactivation on 2026-06-25.

Historical Medicare Part B clinical services included detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

291 E 149th St

Bronx, NY 104515601

Telephone 7187421000
Fax 7187653210
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1033 Specialists

Practicing in Bronx, NY (15701 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
16 16 $100.00 $35.31

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 009814

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
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NPI Profile Deactivated June 25, 2026

Record deactivated on June 25, 2026

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Updated Practice Location March 07, 2022

Registered at 2398 BROADWAY, NEW YORK, NY 100241703 (Tel: 2127212111)

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Updated Business Mailing Address March 07, 2022

Registered at 1345 RXR PLZ, UNIONDALE, NY 115561301 (Tel: 5164530435)

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Updated Practice Location October 30, 2019

Registered at 984 N BROADWAY STE 503, YONKERS, NY 107011308 (Tel: 9144230900)

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Updated Business Mailing Address October 30, 2019

Registered at 984 N BROADWAY STE 503, YONKERS, NY 107011308

NPI Profile Active January 20, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 20, 2009

Registered at 291 E 149TH ST, BRONX, NY 104515601 (Tel: 7187421000)

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Updated Business Mailing Address January 20, 2009

Registered at 200 CENTRAL PARK S, SUITE 107, NEW YORK, NY 100191436 (Tel: 2122622500)

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Provider Name / Credentials Updated January 20, 2009

Recorded as JESSY AYALA, P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2009

Physician Assistant (License #009814 in NY)

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Initial NPI Registration & Enumeration October 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316034804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2006
Last Update: January 20, 2009
Deactivation Date: June 25, 2026

Mailing Address

200 Central Park S, Suite 107

New York, NY 100191436

Phone: 2122622500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.