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

Jessica Petchonka, PA-C

Individual provider Physician Assistant · NPI 1518360536

Jessica Petchonka, PA-C is a Physician Assistant in Manorville, New York. Qualified in 2014, 12 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

496 County Road 111 Bldg B
Manorville, NY 11949-3383
Phone: (631) 405-3200
Fax: (631) 395-6010
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 148 Natures Ln, Miller Place, NY 11764-3137 — (631) 636-6888

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018131 (NY)

Record details

NPI number1518360536
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2014
Last updated in NPPESJune 1, 2020
Certification dateJune 1, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice North Shore Lij Urgent Care Pc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Manorville