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

Mr. Jacob Putkowski, PA-C

Individual provider Physician Assistant · NPI 1093054652

Mr. Jacob Putkowski, PA-C is a Physician Assistant in Plantation, Florida. Qualified in 2012, 14 years ago. Practices with North Shore Lij Urgent Care PC, a 395-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida and New York.

Years since qualifying
14
Licensed in
FL, NY
In the registry since
2013
Specialties on file
2
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

1368 N University Dr
Plantation, FL 33322-4734
Phone: (954) 577-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9107020 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 027832 (NY)

Record details

NPI number1093054652
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 1, 2013
Last updated in NPPESJanuary 28, 2022
Certification dateJanuary 28, 2022
Mailing address5229 N Dixie Hwy, Apt 29c2, Oakland Park, FL 33334-4028

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice North Shore Lij Urgent Care Pc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Plantation