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

Jolie Nicole Lenox, PA

Individual provider Physician Assistant · NPI 1285462788

Jolie Nicole Lenox, PA is a Physician Assistant in New York, New York. Qualified in 2024, 2 years ago. Practices with Modern Physician Services PC, a 53-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

622 W 168th Street VC-260 Columbia University Irving Medical Ctr
New York, NY 10032-3720
Phone: (212) 305-8720
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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 032646 (NY)

Record details

NPI number1285462788
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 25, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024

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)
Group practice Modern Physician Services Pc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Colleagues at Modern Physician Services PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 53 clinicians in the practice; 12 are shown here.

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