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

Jesse N. Rivera, PA-C

Individual provider Physician Assistant · NPI 1174404750

Jesse N. Rivera, PA-C is a Physician Assistant in Newark, Delaware. Qualified in 2025, 1 year ago. Licensed in Delaware.

Years since qualifying
1
Licensed in
DE
In the registry since
2025
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

4755 Ogletown Stanton Rd Ste 1E50
Newark, DE 19718-2200
Phone: (302) 733-1980
Fax: (302) 733-1986
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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 C5-0012330 (DE)

Record details

NPI number1174404750
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 10, 2025
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026
Mailing address4755 Ogletown Stanton Rd Ste 1e50, Newark, DE 19718-2200

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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