Jaime Fetes, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

012630-1 Issued in NY

Practice address

3085 Harlem Rd
Ste 200
Cheektowaga, NY 14225-2563

Phone

(716) 844-5000

NPI assigned

Jul 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfetes@qualitycare.medentdirect.com

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

• Great Lakes Physician, PC

  • Urology Physician
  • Cheektowaga, NY
  • NPI 1659310092
  Medicare reassignment NPD
• Great Lakes Urology PLLC

  • Urology Physician
  • Cheektowaga, NY
  • NPI 1063203859
  Medicare reassignment

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1568627339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 HARLEM RD",
            "address_2": "SUITE 350",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252591",
            "telephone_number": "716-844-5500",
            "fax_number": "716-844-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3085 HARLEM RD",
            "address_2": "STE 200",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142252563",
            "telephone_number": "716-844-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETES",
        "first_name": "JAIME",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-22",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "012630-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01417481",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00638154",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Felicetta, COTA
• Peter Feng, PHARMD
• Katherine Ann Fenster, NP
• Elizabeth Ferro, LPN
• Gideon Fersztman, ORTHODONTICS
• Colleen E Feustel, LPN
• Monica Fields
• Gail A Finch, RN
• Michael P Finnegan, MSED
• Jessica Ann Firkins, LPN

• Medical Physician Assistant in Cheektowaga, NY
• Providers in Cheektowaga, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.