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

Jeremy Kuettel

Individual provider Physician Assistant · NPI 1548991169

Jeremy Kuettel is a Physician Assistant in Syracuse, New York. Qualified in 2023, 3 years ago. Practices with St Josephs Medical PC, a 385-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

1419 Salt Springs Rd
Syracuse, NY 13214-1302
Phone: (315) 445-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 031278 (NY)

Record details

NPI number1548991169
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 23, 2022
Last updated in NPPESMarch 23, 2025
Certification dateMarch 23, 2025
Mailing address1128 N Glencove Rd, Syracuse, NY 13206-2301

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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