Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Haley Mason Vercollone, PA

Individual provider Physician Assistant · NPI 1649876020

Haley Mason Vercollone, PA is a Physician Assistant in Brooklyn, New York. Qualified in 2021, 5 years ago. Practices with Kings Physician Services PC, a 645-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

506 Sixth St
Brooklyn, NY 11215-4905
Phone: (781) 454-8568
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 026204 (NY)

Record details

NPI number1649876020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 10, 2020
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Kings Physician Services Pc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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