National Provider Identifier
Jeremy Alexander Gaden, PA
Jeremy Alexander Gaden, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 339-4936.
Profile Overview
- NPI
- 1679058275
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- September 28, 2018
- Last Updated
- November 19, 2018
Practice Location
- 1425 Portland Ave
- Rochester, NY 14621-3001
Phone: (585) 339-4936
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1679058275
- Entity Type
- Individual
- Last Name
- Gaden
- First Name
- Jeremy
- Middle Name
- Alexander
- Credential
- PA
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (585) 922-1900
- Mailing Fax
- (585) 922-0636
- Practice Street Address
- 1425 Portland Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-3001
- Practice Country
- US
- Practice Phone
- (585) 339-4936
- Practice Fax
- (585) 339-9442
- Enumeration Date
- September 28, 2018
- Last Updated
- November 19, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)