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

Mr. Jonathan Stephens, PA-C

Individual provider Surgical Physician Assistant · NPI 1114535077

Mr. Jonathan Stephens, PA-C is a Physician Assistant in Albany, New York. Qualified in 2020, 6 years ago. Practices with Rst Advancement Florida LLC, a 2-clinician group. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
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

121 Everett Rd Ste 100
Albany, NY 12205-1447
Phone: (518) 489-2663
Fax: (518) 689-6106
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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 025354 (NY)

Record details

NPI number1114535077
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 16, 2020
Last updated in NPPESMay 12, 2022
Certification dateMay 12, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Rst Advancement Florida Llc — 2 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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