Jenny Patel, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057735 Issued in PA

Practice address

537 Riverside Ave
Somerset, MA 02725-2843

Phone

(774) 644-6694

NPI assigned

Mar 25, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442361600000",
    "number": "1275950545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 STONEWOOD DR 151",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907376",
            "telephone_number": "724-933-0300",
            "fax_number": "724-933-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 RIVERSIDE AVE",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027252843",
            "telephone_number": "774-644-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JENNY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2015-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guerline Norbrun
• Cecilia S Oliveir, PTA
• Joanne Olivier, RPH
• Sarah Ann Pacheco, LCSW
• Elizabeth Page
• Aimee Elizabeth Perron, PT, DPT
• Lauren Elizabeth Peterson, PT
• Philip M Robitaille DDS PC
• Wendy L Pimental, COTA/L
• Louis Francis Pistocco Jr., RPT

• Medical Physician Assistant in Somerset, MA
• Providers in Somerset, MA by specialty
• Medical Physician Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.