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

Jacqueline Rosenbaum, PA

Individual provider Surgical Physician Assistant · NPI 1710496757

Jacqueline Rosenbaum, PA is a Physician Assistant in Albany, New York. Qualified in 2017, 9 years ago. Practices with Magnolia Dermatology, PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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

123 Everett Rd
Albany, NY 12205-1407
Phone: (518) 701-2000
Fax: (518) 701-2139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 021349 (NY)

Record details

NPI number1710496757
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 21, 2017
Last updated in NPPESFebruary 8, 2020
Certification dateFebruary 8, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Magnolia Dermatology, Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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