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

Mrs. Jodi Ronquillo, RPA-C, MS, RD

Individual provider Physician Assistant · NPI 1942453212

Mrs. Jodi Ronquillo, RPA-C, MS, RD is a Physician Assistant in Brooklyn, New York. Qualified in 2011, 15 years ago. Practices with Samaritan Medical Services PC, a 336-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2008
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

374 Stockholm St
Brooklyn, NY 11237-4006
Phone: (718) 963-7272
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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 014966 (NY)

Record details

NPI number1942453212
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C , MS , RD
Sole proprietorYes
NPI enumeratedOctober 30, 2008
Last updated in NPPESSeptember 16, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Samaritan Medical Services Pc — 336 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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