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

Marc Jacobson, PA

Individual provider Surgical Physician Assistant · NPI 1588329452

Marc Jacobson, PA is a Physician Assistant in Canandaigua, New York. Qualified in 2021, 5 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

229 Parrish St Ste 100
Canandaigua, NY 14424-1791
Phone: (585) 394-1960
Fax: (585) 393-9232
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 027776 (NY)

Record details

NPI number1588329452
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 4, 2021
Last updated in NPPESMarch 11, 2022
Certification dateMarch 11, 2022
Mailing address100 Kings Hwy S, Rochester, NY 14617-5504

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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