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

Individual provider Physician Assistant · NPI 1689933095

Mrs. Jessica Ivonne Fuentes, PA is a Physician Assistant in Bronx, New York. Qualified in 2012, 14 years ago. Practices with Michael a Pisacano MD PC, a 10-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
14
Licensed in
NY
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2590 Frisby Ave
Bronx, NY 10461-3240
Phone: (718) 409-9400
Fax: (718) 409-9440
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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 015588 (NY)

Record details

NPI number1689933095
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 7, 2012
Last updated in NPPESMay 7, 2012

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 Michael A Pisacano Md Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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