National Provider Identifier
Jacob Scott Privitera, PA-C
Jacob Scott Privitera, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Rochester, NY and a listed phone number of (585) 275-3022.
Profile Overview
- NPI
- 1023569431
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- October 20, 2016
- Last Updated
- June 29, 2023
Practice Location
- 601 Elmwood Ave Box Surg
- Rochester, NY 14642-0001
Phone: (585) 275-3022
Mailing Address
- 601 Elmwood Avenue Box Surg
- Rochester, NY 14642-9616
Specialties
- Surgical Physician Assistant (363AS0400X)
- Medical Physician Assistant (363AM0700X)
- Trauma Surgery Physician (2086S0127X)
Endpoints
- jprivitera107410@direct.urmc.rochester.edu
Direct Messaging Address | Direct | Other | Rochester, NY 14642
Full Record
- NPI
- 1023569431
- Entity Type
- Individual
- Last Name
- Privitera
- First Name
- Jacob
- Middle Name
- Scott
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- 601 Elmwood Avenue Box Surg
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-9616
- Mailing Country
- US
- Mailing Phone
- (585) 275-5100
- Mailing Fax
- (585) 276-1992
- Practice Street Address
- 601 Elmwood Ave Box Surg
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-3022
- Enumeration Date
- October 20, 2016
- Last Updated
- June 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- January 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X), Medical Physician Assistant (363AM0700X), Trauma Surgery Physician (2086S0127X)