Individual provider Active NPI

Jessica Lynn Demauro, PA-C

  • Medical Physician Assistant
  • Syracuse, NY
National Provider Identifier
1346657251
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
017667 Issued in NY
Practice address
101 Richmond Ave Ste 320
Syracuse, NY 13204-2298
Phone
(315) 254-2030
Fax
(315) 254-2031
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 017667 NY Primary

Addresses

Primary practice location

101 Richmond Ave Ste 320
Syracuse, NY 13204-2298

Mailing address

101 Richmond Ave Ste 320
Syracuse, NY 13204-2298
Phone (315) 254-2030

Other names 1

  • Ms. Jessica Lynn Gmyr Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150911001530 NY Practitioner - Physician Assistant 6103133970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
May accept Medicare assignment
Group practices
Syracuse Otolaryngology PLLCGroup PAC ID 0749403863, 4 clinicians

Practice addresses (Care Compare)

101 Richmond Ave
Suite 320
Syracuse, NY 13204-2298
Phone (315) 254-2030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1346657251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RICHMOND AVE STE 320",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042298",
            "telephone_number": "315-254-2030",
            "fax_number": "315-254-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 RICHMOND AVE STE 320",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042298",
            "telephone_number": "315-254-2030",
            "fax_number": "315-254-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAURO",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "GMYR",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.