JILL KOSSOVE (P.A.) – Physician Assistant, NPI 1124021589

JILL KOSSOVE (P.A.) is a healthcare provider. based in Florham park, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 25MP00125200 (NJ). The NPI Number for JILL KOSSOVE (P.A.) is 1124021589

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
JILL KOSSOVE (P.A.)
NPI
1124021589
Phone
(201) 845-9300
Address
147 COLUMBIA TPKE
Enumeration Date
31 May 2005
Last Update Date
7 December 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2126100496
Graduation Year
2004 (22 years ago)
PAC ID
6901869239
Group Practice PAC ID
0345131405
Professional Enrollment ID
I20211204000159
Address ID
NY100225243NE160XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

3,576 PHYSICIAN ASSISTANT in NJ

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Provider Addresses for JILL KOSSOVE (P.A.)

  • Columbia Turnpike, Florham Park, Morris County, New Jersey, 07932, United States

    STE 308

    FLORHAM PARK, NJ 079322145

    Phone: (201) 845-9300

    Fax: (201) 845-9301

    Type: Mailing

  • Forest Avenue, Paramus, Bergen County, New Jersey, 07652, United States

    PARAMUS, NJ 076525242

    Phone: (201) 291-4040

    Fax: (201) 291-0404

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041108001170IPhysician AssistantNJTBD
I20211204000159IPhysician AssistantNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5754$0
99214Established patient office or other outpatient visit, 30-39 minutes3332$0
View full utilization report →

Insurance plans in this area (ZIP 07932)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345131405View full group profile
NameSpecialtyState
Gynecological Oncology, Obstetrics/GynecologyWI
Surgical OncologyNY
Maxillofacial SurgeryNY
Nurse PractitionerNY
U R O L O G YNY
-NY
Physician AssistantNY
Oral SurgeryNY
Physician AssistantNY
Nurse PractitionerNY

Reviews

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Frequently asked questions

What is the standard ID for JILL KOSSOVE (P.A.) in the U.S.?
In the U.S., JILL KOSSOVE (P.A.) is identified by NPI 1124021589.
Should I treat JILL KOSSOVE (P.A.) as an active provider?
Patients and plans typically see JILL KOSSOVE (P.A.) as active in the national extract.
How should patients interpret JILL KOSSOVE (P.A.)'s specialty?
The extract shows Physician Assistant for JILL KOSSOVE (P.A.). Clinical services aligned with this taxonomy classification.
What city is tied to JILL KOSSOVE (P.A.)?
The directory associates JILL KOSSOVE (P.A.) with Florham Park, New Jersey. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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