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

Jenna Gottlieb, PA-C

Individual provider Surgical Physician Assistant · NPI 1902447766

Jenna Gottlieb, PA-C is a Surgical Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
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

1901 1st Ave
New York, NY 10029-7491
Phone: (631) 275-9695
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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 024214 (NY)

Record details

NPI number1902447766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESJanuary 17, 2021
Certification dateJanuary 17, 2021

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