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

Jessica Rose Dejneka

Individual provider Medical Physician Assistant · NPI 1861294332

Jessica Rose Dejneka is a Physician Assistant in Glenside, Pennsylvania. Qualified in 2025, 1 year ago. Licensed in Pennsylvania.

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

Practice location Address checks out

450 S Easton Rd
Glenside, PA 19038-3295
Phone: (607) 684-3030
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA066761 (PA)

Record details

NPI number1861294332
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

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

Other providers in Glenside