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

Jason Lam, PA

Individual provider Physician Assistant · NPI 1063189025

Jason Lam, PA is a Physician Assistant in Syracuse, New York. Qualified in 2021, 5 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California, Connecticut, Maryland and New York and 1 more.

Years since qualifying
5
Licensed in
CA, CT, MD, NY, VA
In the registry since
2021
Specialties on file
6
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1899
Phone: (315) 703-2138
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 027545 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 66605 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 7186 (CT)
Physician Assistant Taxonomy 363A00000X · Licence 0110010741 (VA)
Physician Assistant Taxonomy 363A00000X · Licence C0009935 (MD)
Physician Assistant Taxonomy 363A00000X (NY)

Record details

NPI number1063189025
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 26, 2021
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address301 Prospect Ave, Syracuse, NY 13203-1899

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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