Jera Delibashi, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

023188 Issued in NY

Practice address

65 Genesee St. , BK Building 3Rd FLR
Rochester, NY 14611

Phone

(585) 368-3031

Fax

(585) 368-3037

NPI assigned

Mar 15, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jdelibashi259985@direct.rochesterregional.org

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1184183592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HIGHWAY SOUTH",
            "address_2": "PROVIDER ENROLLMENT",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504",
            "telephone_number": "585-922-1900",
            "fax_number": "585-922-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 GENESEE ST. , BK BUILDING 3RD FLR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14611",
            "telephone_number": "585-368-3031",
            "fax_number": "585-368-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIBASHI",
        "first_name": "JERA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "023188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdelibashi259985@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "65 Genesee ST. , BK Building 3rd flr",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "14611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Karen Delgado
• Jenna Delgallego, RN
• Julia Delgatti, APNP-AC
• Megan Michel Delgudico, AGACNP-BC
• Susan Delia Wood, MS CCC-SLP
• Kendra R Delibert
• Stephanie Zumath Delio
• Jonathan Deliz
• Anthony J Dell'Anno, O.D.
• Rachael Della Pietra, LCSW

• Medical Physician Assistant in Rochester, NY
• Providers in Rochester, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.