Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaclyn Marie Massicci, PA

Individual provider Physician Assistant · NPI 1912568361

Jaclyn Marie Massicci, PA is a Physician Assistant in Buffalo, New York. Qualified in 2019, 7 years ago. Practices with Roswell Park Cancer Institute, a 489-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Partly verified

Some contact details are missing from the federal record.

Elm And Carlton Streets
Buffalo, NY 14263-0001
Phone: (716) 845-2300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 023543 (NY)

Record details

NPI number1912568361
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 26, 2019
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Roswell Park Cancer Institute — 489 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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