Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON R JANNICELLI, MS PAC
ActiveJASON R JANNICELLI, MS PAC is a Physician Assistant healthcare provider located in SOMERVILLE, New Jersey. NPI 1225095607 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOMERVILLE, NJ
Registration Details
- NPI Number
- 1225095607
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 28, 2006 (20.287132424336 yrs)
- Last Updated
- Oct 18, 2016
- License
-
25MP00151700 (NJ)
Practice Information
- Address
-
110 REHILL AVE # 08876SOMERVILLE, NJ, 088762519Browse NJ providers · Browse ZIP 08876
- Phone
- 9086852200
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SOMERVILLE, NJ
| Name | Credential | NPI |
|---|---|---|
| JEAN JORGENSEN | PA | 1255375044 |
| LESLIE FRY | PA | 1972547586 |
| TIMOTHY DUNLAP | PA | 1134163306 |
| GEORGE SCHROEPFER | PA | 1063431450 |
| SARAH WOLFF | PA | 1609896612 |
| ALISON D'ALLEVA | PA | 1396752937 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.