Individual provider Active NPI

Jane C Cichelli, PA-C

  • Surgical Physician Assistant
  • Rochester, NY
National Provider Identifier
1386834109
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
033855 Issued in NY
Practice address
1415 Portland Ave Ste 240
Rochester, NY 14621-3022
Phone
(585) 922-3260
NPI assigned
Jul 27, 2007
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA002840L PA
Surgical Physician Assistant 363AS0400X 033855 NY Primary
Surgical Physician Assistant 363AS0400X 25MP00260400 NJ

Addresses

Primary practice location

1415 Portland Ave Ste 240
Rochester, NY 14621-3022

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice location 1

1 Brace Rd Ste H
Cherry Hill, NJ 08034-2600
Phone (856) 470-9029

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcichelli102778@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20070921000102 PA Practitioner - Physician Assistant 5092809079 Reassigns benefits to 2 organizations
I20120417000656 NJ Practitioner - Physician Assistant 5092809079
I20250805000419 NY Practitioner - Physician Assistant 5092809079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Hahneman Medical College of the Pacific, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester General HospitalGroup PAC ID 0244149474, 1,192 clinicians

Practice addresses (Care Compare)

1425 Portland Ave
Rochester, NY 14621-3001
Phone (585) 922-4000

1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA002840LPAMDPhysician Assistant
25MP00260400NJMDSurgical Physician Assistant
033855NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Jul 28, 2025 Accepting new patients
Rochester General Hospital CurrentSince Sep 5, 2025 Accepting new patients
Abington Memorial Hospital CurrentSince Aug 29, 2022 Accepting new patients
Rochester General Hospital CurrentSince Sep 5, 2025 Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 5, 2025 Accepting new patients
Abington Memorial Hospital CurrentSince Aug 29, 2022 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Phoenixville Clinic Company LLC CurrentSince Jan 1, 2010 Accepting new patients
Physician Assistant Surgical Associates, LLC Surgical Past Accepting new patients

Locations

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1415 Portland Ave
Ste 240
Rochester, NY 14621
Phone (585) 922-3260

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1200 Old York Rd
#5
Abington, PA 19001
Phone (215) 481-4100

140 Nutt Rd
Phoenixville, PA 19460
Phone (610) 983-1000

824 Main St
Ste 302
Phoenixville, PA 19460
Phone (610) 935-7772

Interoperability endpoints

  • Direct secure messaging: jcichelli102778@directvirtua.org
  • Direct secure messaging: jcichelli420772@direct.rochesterregional.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1386834109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PORTLAND AVE STE 240",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146213022",
            "telephone_number": "585-922-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Brace Rd Ste H",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342600",
            "country_code": "US",
            "telephone_number": "856-470-9029",
            "fax_number": "856-428-4053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CICHELLI",
        "first_name": "JANE",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002840L",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "033855",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00260400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcichelli102778@directvirtua.org",
            "affiliation": "N",
            "address_1": "1 Brace Rd Ste H",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.