Active NPI
Jenna Rose Lauria, PA
- Physician Assistant
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 019495
- Practice address
- 355 Bard Ave
Staten Island, NY 10310-1664 - Phone
- (718) 818-2995
- NPI assigned
- Feb 10, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085009954 | IL | |
| Physician Assistant | 363A00000X | 25MP00499800 | NJ | |
| Physician Assistant | 363A00000X | 65700 | CA | |
| Physician Assistant | 363A00000X | 019495 | NY | Primary |
Addresses
Primary practice location
355 Bard Ave
Staten Island, NY 10310-1664
Mailing address
272 Giffords LN
Staten Island, NY 10308-1620
Phone (718) 772-1200
Other practice location 1
2740 Fulton Ave Ste 220
Sacramento, CA 95821-5186
Phone (908) 663-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, TX, CA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Naperville, IL 60564
Phone (908) 663-2929
515 Valley St
Suite 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019495 | NY | MD | Physical Medicine & Rehabilitation Physician |
| 65700 | CA | MD | Physician Assistant |
| 085009954 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stationmd California PC | Current | Accepting new patients | |
| Fpa Hospital Based | Current | Accepting new patients |
Locations
2740 Fulton Ave
Ste 220
Sacramento, CA 95821
Phone (877) 782-8637
515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
355 Bard Ave
Staten Island, NY 10310
Phone (718) 818-1380
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Maplewood, NJ
- NPI 1285015347
IL, NY, TX
-
- Emergency Medicine Physician
- Sacramento, CA
- NPI 1023831922
-
- Nuclear Medicine Physician
- New York, NY
- NPI 1629319413
-
- Dermatopathology (Pathology) Physician
- New York, NY
- NPI 1841531795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1588022198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "272 GIFFORDS LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103081620",
"telephone_number": "718-772-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 BARD AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103101664",
"telephone_number": "718-818-2995"
}
],
"practiceLocations": [
{
"address_1": "2740 Fulton Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958215186",
"country_code": "US",
"telephone_number": "908-663-2929",
"fax_number": "908-934-9564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAURIA",
"first_name": "JENNA",
"middle_name": "ROSE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-10",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085009954",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00499800",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "65700",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "019495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.