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

Jacqueline Marie Schrom, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1609606664

Jacqueline Marie Schrom, PHYSICIANASSISTANT is a Physician Assistant in West Islip, New York. Qualified in 2024, 2 years ago. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1175 Montauk Hwy
West Islip, NY 11795-4939
Phone: (631) 422-9600
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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 032722 (NY)
Physician Assistant Taxonomy 363A00000X (NY)

Record details

NPI number1609606664
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 5, 2024
Last updated in NPPESMay 13, 2025
Certification dateMay 13, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in West Islip