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

Jason Depasquale, PA

Individual provider Physician Assistant · NPI 1053714188

Jason Depasquale, PA is a Physician Assistant in New York, New York. Works from 3 locations. Licensed in Georgia, Massachusetts, North Carolina and New York and 1 more.

Licensed in
GA, MA, NC, NY, TX
In the registry since
2014
Specialties on file
6
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

30 Broad St Fl 45
New York, NY 10004-2942
Phone: (888) 663-6331
Fax: (415) 252-7176
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 3950 Austell Rd, Austell, GA 30106-1121 — (770) 732-3886
  • 3515 Camp Creek Pkwy Ste 110, East Point, GA 30344-8411 — (404) 344-7337

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7407 (GA)
Physician Assistant Taxonomy 363A00000X
Physician Assistant Taxonomy 363A00000X · Licence 029953 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 0010-13873 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA9383 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA18233 (TX)

Record details

NPI number1053714188
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 3, 2014
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025

Other providers in New York