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

Jacqueline Videtto, PA-C

Individual provider Medical Physician Assistant · NPI 1083049480

Jacqueline Videtto, PA-C is a Medical Physician Assistant in Massapequa, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

100 Veterans Blvd Ste 1
Massapequa, NY 11758-4945
Phone: (516) 882-9600
Fax: (516) 882-9605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 016854 (NY)

Record details

NPI number1083049480
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 5, 2013
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

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