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

Mrs. Jessica Amy Cooney, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1992051965

Mrs. Jessica Amy Cooney, PHYSICIANASSISTANT is a Physician Assistant in Jamaica, New York. Qualified in 2012, 14 years ago. Practices with South Nassau Physician Group PC, an 18-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
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Practice location Address checks out

8268 164th St
Jamaica, NY 11432-1121
Phone: (718) 883-3100
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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 015784 (NY)

Record details

NPI number1992051965
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJuly 27, 2012
Last updated in NPPESJanuary 16, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice South Nassau Physician Group Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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