Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Caroline Emilie Bouillon, PA-C

Individual provider Physician Assistant · NPI 1528768629

Caroline Emilie Bouillon, PA-C is a Physician Assistant in New York, New York. Qualified in 2022, 4 years ago. Practices with New Jersey Heart and Vein LLC, a 6-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
4
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 E 77th St
New York, NY 10075-1850
Phone: (212) 434-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1528768629
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 7, 2023
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice New Jersey Heart And Vein Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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