Jacqueline Woodburn, PA
Jacqueline Woodburn, PA is a Physician Assistant in East Patchogue, New York. Qualified in 2025, 1 year ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group and accepts Medicare assignment. Licensed in New York.
- Years since qualifying
- 1
- Licensed in
- NY
- In the registry since
- 2025
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
129 Sunrise Hwy WEast Patchogue, NY 11772-1846
Phone: (631) 230-5774
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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 033652 (NY) |
|---|
Record details
| NPI number | 1710780028 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | Yes |
| NPI enumerated | March 31, 2025 |
| Last updated in NPPES | March 31, 2025 |
| Certification date | March 31, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | City Medical Of Upper East Side Pllc — 663 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 10 on file with Medicare |
Other providers in East Patchogue
-
Mr. James M Storc, MPAS, RPA-C, RTT
100 Hospital Rd Ste 216, East Patchogue, NY 11772 · (631) 475-5511
-
Nancy Tengelsen, PA-C
285 Sills Rd Bldg 18, East Patchogue, NY 11772-4808 · (631) 475-1224
-
Mr. Jason Gerard Tonno, PA-C
285 Sills Rd Bldg 18, East Patchogue, NY 11772-4808 · (631) 475-1224
-
Laura D. Wilk, PA-C
250 Patchogue Yaphank Rd Ste 12, East Patchogue, NY 11772-4800 · (631) 289-7474