Jennifer Rose Beerworth, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

021151 Issued in NY

Practice address

125 Lattimore Rd Ste 150
Rochester, NY 14620-4156

Phone

(212) 308-3088

NPI assigned

May 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer R Mansfield Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Bethpage Medical, PLLC

  • Obstetrics & Gynecology Physician
  • Garden City, NY
  • NPI 1205074739
  NPD (past)
• Nsuh Plainview Physicians Ufp Corporation

  • Obstetrics & Gynecology Physician
  • New York, NY
  • NPI 1508750332
  NPD (past)
• Ocean Perinatology PLLC

  • Maternal & Fetal Medicine Physician
  • Plainview, NY
  • NPI 1598918500
  NPD (past)

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1962992867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE BOX 668",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LATTIMORE RD STE 150",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146204156",
            "telephone_number": "212-308-3088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "64-63 Austin Street",
            "address_2": "Suite 1A",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "11374",
            "country_code": "US",
            "telephone_number": "718-464-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEERWORTH",
        "first_name": "JENNIFER",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA6560",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MANSFIELD",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michele L Beeley, LCSW
• Karrie A Beeman, REGISTERED NURSE
• Lorraine Beeman, CASAC
• Andrew David Beers, PHARMD
• Margaret Danaher Beers
• Jarina Begum
• Lauren Ashley Begy, PT, DPT
• Beena Behal
• Mridula Behal, LPN
• Amanda K Behan

• Physician Assistant in Rochester, NY
• Providers in Rochester, 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 Apr 22, 2021; 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.