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

Jeremy Sommer, PA-C

Individual provider Physician Assistant · NPI 1568891372

Jeremy Sommer, PA-C is a Physician Assistant in Avenel, New Jersey. Qualified in 2013, 13 years ago. Practices with Clark Dermatology LLC, a 46-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2013
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

1030 Saint Georges Ave
Avenel, NJ 07001-1390
Phone: (732) 750-1331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1324 Victory Blvd, Staten Island, NY 10301-3917 — (718) 448-4488

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 017178 (NY)

Record details

NPI number1568891372
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 2, 2013
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Clark Dermatology Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Avenel