Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jeannette Elizabeth Driscoll, PA

Individual provider Physician Assistant · NPI 1922116045

Mrs. Jeannette Elizabeth Driscoll, PA is a Physician Assistant in Staten Island, New York. Qualified in 2004, 22 years ago. Practices with Amboy Medical Practice PC, a 173-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2006
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

355 Bard Ave Rumc Emergency Dept
Staten Island, NY 10310-1664
Phone: (718) 306-4023
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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 010543 (NY)

Record details

NPI number1922116045
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 28, 2006
Last updated in NPPESOctober 4, 2010

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Amboy Medical Practice Pc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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