Individual provider Active NPI

Jennifer Irene Donatella, PA

  • Physician Assistant
  • Dansville, NY
National Provider Identifier
1487522272
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
034352 Issued in NY
Practice address
22 Red Jacket St
Dansville, NY 14437-9502
Phone
(585) 335-5200
Fax
(585) 335-8579
NPI assigned
Oct 24, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 034352 NY Primary

Addresses

Primary practice location

22 Red Jacket St
Dansville, NY 14437-9502

Mailing address

22 Red Jacket St
Dansville, NY 14437-9502
Phone (585) 335-5200

Other practice location 1

50 E South St Ste 400
PO Box 456
Geneseo, NY 14454-1387
Phone (585) 243-9340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
034352NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1487522272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RED JACKET ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379502",
            "telephone_number": "585-335-5200",
            "fax_number": "585-335-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 RED JACKET ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379502",
            "telephone_number": "585-335-5200",
            "fax_number": "585-335-8579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 E South St Ste 400",
            "address_2": "PO Box 456",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541387",
            "country_code": "US",
            "telephone_number": "585-243-9340",
            "fax_number": "585-335-8579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONATELLA",
        "first_name": "JENNIFER",
        "middle_name": "IRENE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "034352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dansville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.