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

Individual provider Physician Assistant · NPI 1871354431

Jennifer Michele Rottkamp, PA-C is a Physician Assistant in Stony Brook, New York. Qualified in 2024, 2 years ago. Practices with New York Spine and Brain Surgery, University Faculty Practice Corporat, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
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

100 Nicolls Road Hsc T12 Rm 080
Stony Brook, NY 11794-8122
Phone: (631) 444-1213
Fax: (631) 444-1535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Hospital Rd, Patchogue, NY 11772-4870 — (631) 654-7100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1871354431
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice New York Spine And Brain Surgery, University Faculty Practice Corporat — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Stony Brook