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Provider Profile

Jake Defonzo, PA-C

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At a glance

About Jake Defonzo

Listed in the NPI registry as a physician assistant, Jake Defonzo, PA-C practices in Penn Wynne, PA. NPI 1013502459 identifies this record in the national registry.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2017

Specialty

Credentials & Licensing

PA licenceAs reported to the NPI registry
No. MA066534As reported
NY licenceAs reported to the NPI registry
No. 026221-01As reported
NPINational Provider Identifier
1013502459Issued 2021

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Jake Defonzo's specialty?

Jake Defonzo is a physician assistant in Penn Wynne, PA. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Jake Defonzo?

Jake Defonzo is listed at 100 E Lancaster Ave, Penn Wynne, PA 19096. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Jake Defonzo?

The number on file is (484) 476-2000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Jake Defonzo?

Jake Defonzo's National Provider Identifier is 1013502459. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Jake Defonzo's education?

Jake Defonzo attended Other, graduating in 2017. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Jake Defonzo have?

Jake Defonzo has 9 years experience. Calculated from a graduation year of 2017, reported in the CMS National Downloadable File.

CMS public data

Is Jake Defonzo's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Jake Defonzo. If this is you, claiming it is free.

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