National Provider Identifier

Jennifer Rose Beerworth, PA-C

Jennifer Rose Beerworth, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (212) 308-3088.

NPI 1962992867Rochester, NYPhysician Assistant

Source: public NPPES record, last updated April 22, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1962992867
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
May 16, 2018
Last Updated
April 22, 2021

Practice Location

  • 125 Lattimore RD Ste 150
  • Rochester, NY 14620-4156

Phone: (212) 308-3088

Mailing Address

  • 601 Elmwood Ave Box 668
  • Rochester, NY 14642-0001

Specialties

  • Physician Assistant (363A00000X)
  • Physician Assistant (363A00000X)

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Full Record
NPI
1962992867
Entity Type
Individual
Last Name
Beerworth
First Name
Jennifer
Middle Name
Rose
Credential
PA-C
Provider Other Last Name
Mansfield
Provider Other First Name
Jennifer
Provider Other Middle Name
R
Provider Other Last Name Type Code
1
Mailing Street Address
601 Elmwood Ave Box 668
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642-0001
Mailing Country
US
Mailing Phone
(585) 275-5705
Practice Street Address
125 Lattimore RD Ste 150
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-4156
Practice Country
US
Practice Phone
(212) 308-3088
Enumeration Date
May 16, 2018
Last Updated
April 22, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 22, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Physician Assistant (363A00000X)