Search › New York › 363A00000X
Jason Depasquale, PA
NPI 1053714188 · on the registry since 2014
Practice
- Address
- 30 Broad St Fl 45
New York, NY 10004 - Phone
- (888) 663-6331
- Fax
- (415) 252-7176
- Organisation at this address
- Cinq-Ny-Ipa Llc
Servitium Med Ny, Llc
Wall Street Foot Group
One Medical Of Ny, P.C.
Chiropractic At Wall Street PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 108
Additional practice sites
- 3950 Austell Rd, Austell, GA
- 3515 Camp Creek Pkwy Ste 110, East Point, GA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
363A00000X
363A00000X
363A00000X
363A00000X - Licence states on file
- NY, NC, MA, TX, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York