Jacqueline Woodburn, PA
NPI 1710780028 · Physician Assistant · East Patchogue, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jacqueline Woodburn, PA is a Physician Assistant provider in East Patchogue, NY (NPI 1710780028).
Provider details
- NPI number
- 1710780028
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 033652 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-31
- Last updated
- 2025-03-31
- Certified
- 2025-03-31
Frequently asked questions
- What is Jacqueline Woodburn's NPI number?
- Jacqueline Woodburn's National Provider Identifier (NPI) is 1710780028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Woodburn's specialty?
- Jacqueline Woodburn is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jacqueline Woodburn located?
- Jacqueline Woodburn's practice location on file with NPPES is 129 Sunrise Hwy W, East Patchogue, NY 11772-1846.
- What is Jacqueline Woodburn's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Woodburn is (631) 230-5774.
- Does Jacqueline Woodburn accept Medicare?
- Jacqueline Woodburn is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jacqueline Woodburn's NPI active?
- Yes — Jacqueline Woodburn's NPI (1710780028) is active in the NPPES registry as of the last update on 2025-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.