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

Individual provider Physician Assistant · NPI 1447741954

Jonica Kay Engelhaupt, PA-C is a Physician Assistant in New York, New York. Qualified in 2017, 9 years ago. Works from 3 locations. Licensed in Illinois, Louisiana and New York.

Years since qualifying
9
Licensed in
IL, LA, NY
In the registry since
2018
Specialties on file
3
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

30 Broad St Fl 45
New York, NY 10004-2942
Phone: (888) 663-6331
Fax: (415) 252-7176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4600 Memorial Dr Ste 260, Belleville, IL 62226 — (618) 257-4100
  • 2389 Highway 28 E, Pineville, LA 71360-5607 — (318) 487-1925

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 033950 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 324327 (LA)
Physician Assistant Taxonomy 363A00000X · Licence 085.006576 (IL)

Record details

NPI number1447741954
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 21, 2018
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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