JACLYN TERESCO PA
NPI 1023447752
Physician Assistant - Medical in Glen Cove, NY

NPI Status: Active since November 04, 2013

Contact Information

104 FOREST AVE
GLEN COVE, NY
ZIP 11542
Phone: (516) 759-5406

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About JACLYN TERESCO

This page provides the complete NPI Profile along with additional information for Jaclyn Teresco, a primary care provider established in Glen Cove, New York with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1023447752 assigned on November 2013. The practitioner's primary taxonomy code is 363AM0700X with license number 017062 (NY). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1023447752
Provider Name
JACLYN TERESCO PA
Gender
Female
Entity Type
Individual
Location Address
104 FOREST AVE GLEN COVE, NY 11542
Location Phone
(516) 759-5406
Mailing Address
104 FOREST AVE GLEN COVE, NY 11542
Mailing Phone
(516) 759-5406
Is Sole Proprietor?
Yes
Enumeration Date
11-04-2013
Last Update Date
11-04-2013
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A primary care provider (PCP) like Jaclyn Teresco sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
017062
License State
NY

Medicare Participation & PECOS Enrollment Status

Jaclyn Teresco is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    5 DME suppliers used 25 Medicare Claims 55 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    5 DME suppliers used 11 Medicare Claims 14 Services Paid

Reviews for JACLYN TERESCO PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023447752
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20438414710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 8 + 4 + 1 + 4 + 7 + 1 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1023447752 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1063473908 RUSSELL H SAMUEL MD
Individual
General Practice104 FOREST AVE
GLEN COVE, NY 11542
(516) 759-5406
1710064761DR. DEBBIE FELICIANO MD
Individual
Family Medicine104 FOREST AVE
GLEN COVE, NY 11542
(516) 759-5406
1063636280 JENNIFER D ROTH PA
Individual
Physician Assistant104 FOREST AVE
GLEN COVE, NY 11542
(516) 759-5406
1912122136MS. JACQUELINE ALLISON KIELTY P.A
Individual
Physician Assistant (Medical)104 FOREST AVE
GLEN COVE, NY 11542
(516) 759-5406
1992900583THE MED STATION PC
Organization
Internal Medicine104 FOREST AVE
GLEN COVE, NY 11542
(516) 759-5406
1346783586MEDSTATION
Organization
Clinic/Center (Urgent Care)104 FOREST AVE
GLEN COVE, NY 11542
(516) 759-5406
1043754179 KAITLYN KRAUSE
Individual
Physician Assistant (Medical)104 FOREST AVE
GLEN COVE, NY 11542
(516) 759-5406
1497007041 YASMIN NUNEZ P.A.
Individual
Physician Assistant (Medical)104 FOREST AVE
GLEN COVE, NY 11542
(516) 676-2904

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023447752, enumerated in the NPI registry as an "individual" on November 04, 2013

The provider is located at 104 Forest Ave Glen Cove, Ny 11542 and the phone number is (516) 759-5406

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on November 04, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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