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

Jenna Rose Lauria, PA

Individual provider Physician Assistant · NPI 1588022198

Jenna Rose Lauria, PA is a Physician Assistant in Staten Island, New York. Qualified in 2015, 11 years ago. Practices with Stationmd Professional Corporation, a 62-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Illinois, New Jersey and New York.

Years since qualifying
11
Licensed in
CA, IL, NJ, NY
In the registry since
2016
Specialties on file
4
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

355 Bard Ave
Staten Island, NY 10310-1664
Phone: (718) 818-2995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2740 Fulton Ave Ste 220, Sacramento, CA 95821-5186 — (908) 663-2929

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 019495 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 085009954 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00499800 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence 65700 (CA)

Record details

NPI number1588022198
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 10, 2016
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Stationmd Professional Corporation — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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