JAE LYN BURKE PA-C NPI 1194808998

NPI Information

  • NPI: 1194808998
  • Provider Name: JAE LYN BURKE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • Address: 66 PARK STREET
    ELIZABETHTOWN, NY
    ZIP 12932
  • Phone: (518) 873-6896

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NPI Details

Jae Lyn Burke, PA-C is a medical physician assistant in Elizabethtown, NY. Jae Lyn Burke, PA-C NPI is 1194808998. 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:

66 PARK STREET
ELIZABETHTOWN, NY
ZIP 12932
Phone: (518) 873-6896

The enumeration date for this NPI number is 10/23/2006 and was last updated on 12/20/2013.

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
1363AM0700XPhysician AssistantMedical001251NEW YORKYes

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
1141364513OTHERNEW YORKTAX ID

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: 11/21/2025

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