JESSICA LYNNE MARTIN PA NPI 1982623203

NPI Information

NPI: 1982623203
Provider Name: JESSICA LYNNE MARTIN, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2350 RIDGEWAY AVE
SUITE A
ROCHESTER, NY
ZIP 14626
Phone: (585) 922-2440
Get Directions

Jessica Lynne Martin, PA is a medical physician assistant in Rochester, NY. Jessica Lynne Martin, PA NPI is 1982623203. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2350 RIDGEWAY AVE
SUITE A
ROCHESTER, NY
ZIP 14626-127
Phone: (585) 922-2440
Fax: (585) 663-3293

The NPI 1982623203 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 5/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	010137	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA0512	OTHER	NEW YORK	PREFERRED CARE
2	PA0512	OTHER	NEW YORK	PREFERRED CARE OPT
3	010137	MEDICAID	NEW YORK
4	PO19010137	OTHER	NEW YORK	BLUE CROSS OF ROCHESTER
5	PO19010137	OTHER	NEW YORK	BLUE CHOICE OPT
6	PO19010137	OTHER	NEW YORK	BLUE CHOICE
7	J982623203	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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