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

Jeannie Decoo, RPA-C

Individual provider Physician Assistant · NPI 1144463621

Jeannie Decoo, RPA-C is a Physician Assistant in New York, New York. Qualified in 2009, 17 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2009
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Practice location Address checks out

550 1st Ave
New York, NY 10016-6402
Phone: (212) 263-0853
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 85 W Burnside Ave, Bronx, NY 10453-4015 — (718) 716-4400

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 013235-1 (NY)

Record details

NPI number1144463621
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedApril 13, 2009
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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