Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Marie Regan, RPA-C

Individual provider Medical Physician Assistant · NPI 1558791483

Jennifer Marie Regan, RPA-C is a Physician Assistant in New York, New York. Qualified in 2013, 13 years ago. Practices with North Shore Health System Medical Faculty Group Practice Inc, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
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Practice location Address checks out

1305 York Ave 12th Fl
New York, NY 10021-5663
Phone: (646) 962-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 017209 (NY)

Record details

NPI number1558791483
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedNovember 13, 2013
Last updated in NPPESSeptember 15, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice North Shore Health System Medical Faculty Group Practice Inc — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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