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

Individual provider Medical Physician Assistant · NPI 1407682040

Jennifer Keth, PA-C is a Physician Assistant in New Haven, Connecticut. Graduated from Hofstra North Shore - Lij School of Medicine in 2024, 2 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
2
Trained at
Hofstra North Shore - Lij School of Medicine
Licensed in
CT
In the registry since
2024
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

20 York St
New Haven, CT 06510-3202
Phone: (203) 688-4748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 6973 (CT)

Record details

NPI number1407682040
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 10, 2024
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolHOFSTRA NORTH SHORE - LIJ SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Northeast Medical Group Inc — 1360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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