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

Individual provider Medical Physician Assistant · NPI 1679897060

Jacqueline Marjorie Lichtenstein, PA-C is a Physician Assistant in Bay Shore, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2009, 17 years ago. Practices with Amit Sharma MD PC, a 3-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
17
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2010
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

340 Howells Rd Ste 2B
Bay Shore, NY 11706-5322
Phone: (833) 547-7463
Fax: (631) 318-9830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4250 Hempstead Tpke Ste 4, Bethpage, NY 11714-5707 — (833) 547-7463
  • 66 Commack Rd Ste 103, Commack, NY 11725-3405 — (833) 547-7463
  • 182 Main St, Huntington, NY 11743-6987 — (833) 547-7463

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 019016 (NY)

Record details

NPI number1679897060
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 15, 2010
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Amit Sharma Md Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bay Shore