Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Denise D'Eletto, PA

Individual provider Medical Physician Assistant · NPI 1053734889

Jacqueline Denise D'Eletto, PA is a Physician Assistant in Rochester, New York. Qualified in 2013, 13 years ago. Practices with Rochester General Hospital, a 1,197-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2014
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 Address checks out

1415 Portland Ave Ste 350
Rochester, NY 14621-3043
Phone: (585) 442-5320
Fax: (585) 442-5526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 Hagen Dr Ste 100, Rochester, NY 14625-2658 — (585) 442-5320

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 017338 (NY)

Record details

NPI number1053734889
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 30, 2014
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Rochester General Hospital — 1197 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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