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

Jeremy Rose

Individual provider Physician Assistant · NPI 1750751467

Jeremy Rose is a Physician Assistant in Auburn, New York. Qualified in 2015, 11 years ago. Practices with Upstate Community Medical, PC, a 152-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

77 Nelson St Ste 120
Auburn, NY 13021-1944
Phone: (315) 252-7559
Fax: (315) 253-8104
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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 019192-1 (NY)

Record details

NPI number1750751467
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 7, 2015
Last updated in NPPESOctober 14, 2015
Mailing address17 Lansing St, Auburn, NY 13021-1983

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 Upstate Community Medical, Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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