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

Individual provider Physician Assistant · NPI 1386596799

Jessica Anna Lidwin, PA-C is a Physician Assistant in Summit, New Jersey. Qualified in 2025, 1 year ago. Licensed in New Jersey.

Years since qualifying
1
Licensed in
NJ
In the registry since
2026
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

33 Overlook Rd Ste 301
Summit, NJ 07901-3563
Phone: (908) 522-5045
Fax: (908) 522-5353
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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 25MP00998600 (NJ)

Record details

NPI number1386596799
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 10, 2026
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

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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