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

Jaclyn C Cornell

Individual provider Physician Assistant · NPI 1548633001

Jaclyn C Cornell is a Physician Assistant in Bethpage, New York. Qualified in 2015, 11 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

4271 Hempstead Tpke Ste 1
Bethpage, NY 11714-5708
Phone: (516) 758-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 19303 (NY)

Record details

NPI number1548633001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 5, 2015
Last updated in NPPESJune 28, 2023
Mailing address4271 Hempstead Tpke, Suite 1, Bethpage, NY 11714-5708

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bethpage