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

Mr. Jacob Scott Privitera, PA-C

Individual provider Trauma Surgery Physician · NPI 1023569431

Mr. Jacob Scott Privitera, PA-C is a Physician Assistant in Rochester, New York. Qualified in 2016, 10 years ago. Practices with Trauma Burn Emergency Surgery of the University of Rochester, a 23-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2016
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

601 Elmwood Ave Box Surg
Rochester, NY 14642-0001
Phone: (585) 275-3022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 020185 (NY)
Trauma Surgery Physician Taxonomy 2086S0127X · Licence 20185 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 020185 (NY)

Record details

NPI number1023569431
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 20, 2016
Last updated in NPPESJune 29, 2023
Certification dateJanuary 3, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Trauma Burn Emergency Surgery Of The University Of Rochester — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rochester