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

Jacqueline Levine, PA

Individual provider Physician Assistant · NPI 1619267382

Jacqueline Levine, PA is a Physician Assistant in Brooklyn, New York. Qualified in 2010, 16 years ago. Practices with Bay Ridge Skin and Cancer Dermatology PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2011
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

9921 4th Ave
Brooklyn, NY 11209-8351
Phone: (718) 833-7616
Fax: (718) 680-4297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014525-1 (NY)

Record details

NPI number1619267382
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 14, 2011
Last updated in NPPESJune 8, 2023
Certification dateJune 8, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Bay Ridge Skin And Cancer Dermatology Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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