Individual provider Active NPI

Jasmine Martinez Zoschak, PA

  • Physician Assistant
  • Dingmans Ferry, PA
National Provider Identifier
1750524435
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003175L Issued in PA
Practice address
1592 Route 739
Dingmans Ferry, PA 18328-3477
Phone
(570) 828-8000
NPI assigned
Apr 11, 2009
Last updated
Jul 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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 MA003175L PA Primary

Addresses

Primary practice location

1592 Route 739
Dingmans Ferry, PA 18328-3477

Mailing address

185 Rykowski LN 101
Middletown, NY 10941-4055
Phone (845) 692-0030

Other practice location 1

707 E Main St
Middletown, NY 10940-2650
Phone (845) 692-0030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgannon@hvi.medinformatixdirect.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151112000176 NY Practitioner - Physician Assistant 5294045811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Middletown Medical PCGroup PAC ID 2567464308, 177 clinicians

Practice addresses (Care Compare)

111 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

75 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

95 Maltese Dr
Middletown, NY 10940-2115
Phone (845) 342-4774

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA003175LPAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Radiologic Associates Prof Corp CurrentSince Nov 19, 2015 Accepting new patients
Middletown Medical PC CurrentSince May 13, 2025 Accepting new patients
Middletown Medical PC CurrentSince May 13, 2025 Accepting new patients

Locations

111 Maltese Dr
Middletown, NY 10940

185 Rykowski Ln
#101
Middletown, NY 10941
Phone 84569200301100

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1750524435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 RYKOWSKI LN 101",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414055",
            "telephone_number": "845-692-0030",
            "fax_number": "845-692-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 ROUTE 739",
            "city": "DINGMANS FERRY",
            "state": "PA",
            "postal_code": "183283477",
            "telephone_number": "570-828-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-692-0030",
            "fax_number": "845-692-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOSCHAK",
        "first_name": "JASMINE",
        "middle_name": "MARTINEZ",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-11",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003175L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgannon@hvi.medinformatixdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "185 Rykowski Ln Ste 101",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109414055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dingmans Ferry, PA

Sources for this page

Verify at the official NPI Registry.