Jennifer Dawn Phillips, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

007111 Issued in NY

Practice address

3050 Orchard Park Rd
West Seneca, NY 14224-4658

Phone

(716) 675-5222

NPI assigned

Jun 15, 2006

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 4

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Medical Associates of Wny PLLCGroup PAC ID 4587754874, 23 clinicians

Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jphillips@ogcwny.medentdirect.com
• Direct secure messaging: jphillips@gppc.medentdirect.com

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.

• Apex Medical Associates of Wny, PLLC

  dba OB/GYN Care of Wny

  • Obstetrics & Gynecology Physician
  • West Seneca, NY
  • NPI 1639239221
  Medicare reassignment Care Compare group
• Ahmed & Ahmed Physicians P C

  dba Suburban Behavioral Health

  • Rheumatology Physician
  • Williamsville, NY
  • NPI 1427489459
  Medicare reassignment
• Trinity Medical Wny PC

  • Internal Medicine Physician
  • Buffalo, NY
  • NPI 1295043149
  Care Compare group
• Women First Healthcare of Western New York PC

  • Obstetrics & Gynecology Physician
  • Orchard Park, NY
  • NPI 1114081601
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1659315398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244658",
            "telephone_number": "716-766-5222",
            "fax_number": "716-675-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ORCHARD PARK RD",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142244658",
            "telephone_number": "716-675-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4845 Transit Rd",
            "address_purpose": "LOCATION",
            "city": "Depew",
            "state": "NY",
            "postal_code": "140434783",
            "country_code": "US",
            "telephone_number": "716-766-5222",
            "fax_number": "716-675-9329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02347079",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "95-11822",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026509002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000570265003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Petoniak, RPH
• Joseph A Petrino, OTR
• Rosemary Lucille Petti-Schaner, OTR
• Anne Louise Petti, LCSW
• Pharmacy in the Square Inc.
• Chuong Phu, BA
• Physician Assistants of Western New York
• Sheila Pieczonka, DO
• Olivia Marie Piegay, PHD
• William S Pierce, DPM

• Physician Assistant in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.

Verify at the official NPI Registry.