Jessica Robin Mahoney, RPA-C
Physician Assistant, Surgical in Rochester, NY. Individual provider (NPI-1).
NPI number1972525129
StatusActive
Last updated in NPPESJul 5, 2023
Details
- NPI
- 1972525129
- Entity type
- Individual (NPI-1)
- Name
- Jessica Robin Mahoney
- Credential
- RPA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2006
- Last updated
- Jul 5, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 008777 | NY | Yes |
| 363AS0400X | Physician Assistant, Surgical | 8777 | NY |
Practice location
1000 South AveRochester, NY 14620-2733
Phone 585-473-2200 · Fax 585-341-8326
Mailing address
871 Trimmer RdSpencerport, NY 14559-9544
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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