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

Jason R Jannicelli, MSPAC

Individual provider Physician Assistant · NPI 1225095607

Jason R Jannicelli, MSPAC is a Physician Assistant in Somerville, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006

Practice location Address checks out

110 Rehill Ave # 08876
Somerville, NJ 08876-2519
Phone: (908) 685-2200
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00151700 (NJ)

Record details

NPI number1225095607
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPAC
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESOctober 18, 2016
Mailing address36 Arden Rd, Old Bridge, NJ 08857-1888

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