Active NPI
Jane C Cichelli, PA-C
- Surgical Physician Assistant
- Rochester, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 033855
- Practice address
- 1415 Portland Ave Ste 240
Rochester, NY 14621-3022 - Phone
- (585) 922-3260
- NPI assigned
- Jul 27, 2007
- Last updated
- Jul 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcichelli102778@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA002840L | PA | MD | Physician Assistant |
| 25MP00260400 | NJ | MD | Surgical Physician Assistant |
| 033855 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western New York Medical Practice P.C. | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients | |
| Rochester General Hospital | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Abington Memorial Hospital | Current | Accepting new patients | |
| The Unity Hospital of Rochester | Current | Accepting new patients | |
| Phoenixville Clinic Company LLC | Current | 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
- jcichelli102778@directvirtua.org
- 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.
-
dba Rochester General Medical Groups
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1760421713
-
- Family Medicine Physician
- Rochester, NY
- NPI 1063790608
-
dba AMH Cardica Surgical Specialists
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Abington, PA
- NPI 1275575482
-
dba Cardiology Limerick Tower Health Medical Group
- Family Medicine Physician
- Phoenixville, PA
- NPI 1891866182
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1255360517
-
dba Unity Physician Services
- General Acute Care Hospital
- Rochester, NY
- NPI 1457395766
-
- Maternal & Fetal Medicine Physician
- Abington, PA
- NPI 1649033069
-
dba Phoenixville Surgical Associates
- Vascular Surgery Physician
- Limerick, PA
- NPI 1790746345
-
- Surgical Physician Assistant
- Collegeville, PA
- NPI 1265738249
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Riverside Regional Medical Center
- General Acute Care Hospital
- Newport News, VA
- NPI 1366547747
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.