Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Mastropaolo, PA-C

Individual provider Physician Assistant · NPI 1356940175

Jacob Mastropaolo, PA-C is a Physician Assistant in Novi, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

27275 Haggerty Rd Ste 500
Novi, MI 48377-3635
Phone: (248) 741-6909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 N Pontiac Trl, Walled Lake, MI 48390-3448 — (248) 624-4511

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010190 (MI)

Record details

NPI number1356940175
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2020
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021

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