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

Miss. Jennifer Fulton, PA

Individual provider Medical Physician Assistant · NPI 1649260357

Miss. Jennifer Fulton, PA is a Physician Assistant in E Patchogue, New York. Qualified in 2003, 23 years ago. Practices with New York University, a 5,884-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2005
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

285 Sills Rd
E Patchogue, NY 11772-4869
Phone: (631) 447-8300
Show map & directions

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

Additional practice locations (1)

  • 951 Roanoke Ave, Riverhead, NY 11901-2724 — (631) 727-7773

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 009370 (NY)

Record details

NPI number1649260357
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2005
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare