Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043628068 Individual Practitioner Female Practitioner

Jillian Rose Mcnulty , PA

Physician Assistant • Chappaqua, NY

Professional Overview & Biography Verified Profile Summary

Jillian Mcnulty, PA is a registered healthcare professional specializing in Physician Assistant in Chappaqua, NY. Practice services are available at 480 SOUTH BEDFORD ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

480 South Bedford Road

Chappaqua, NY 10514

Telephone 9144588863
Fax 9144588764

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chappaqua, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Chappaqua, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 017781

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Caqh
13781002 (NY)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location January 12, 2023

Registered at 480 SOUTH BEDFORD ROAD, CHAPPAQUA, NY 10514 (Tel: 9144588863)

📍
Updated Business Mailing Address January 12, 2023

Registered at 480 SOUTH BEDFORD ROAD, PRE-SURGICAL TESTING BUILDING C, CHAPPAQUA, NY 10514 (Tel: 9144588850)

👤
Provider Name / Credentials Updated January 12, 2023

Recorded as JILLIAN MCNULTY, P.A.

📍
Updated Business Mailing Address March 01, 2018

Registered at 169 EAST LAKE BLVD, MAHOPAC, NY 105411601 (Tel: 8454062287)

NPI Profile Active July 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2014

Registered at 630 W 168TH ST, NEW YORK, NY 100323725 (Tel: 2123046920)

📍
Updated Business Mailing Address July 23, 2014

Registered at 184 E BOYDS RD, CARMEL, NY 105124108 (Tel: 8454062287)

👤
Provider Name / Credentials Updated July 23, 2014

Recorded as JILLIAN SPALLINA, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2014

Physician Assistant (License #017781 in NY)

🟢
Initial NPI Registration & Enumeration July 23, 2014

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: 1043628068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2014
Last Update: January 12, 2023
Sole Proprietor: Yes

Mailing Address

480 South Bedford Road, Pre-Surgical Testing Building C

Chappaqua, NY 10514

Phone: 9144588850

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.