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

Olivia Lamontagne

Individual provider Physician Assistant · NPI 1689435513

Olivia Lamontagne is a Physician Assistant in Cicero, New York. Qualified in 2023, 3 years ago. Practices with St Josephs Medical PC, a 385-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2024

Practice location Address checks out

5586 Legionnaire Dr
Cicero, NY 13039-3504
Phone: (315) 699-2837
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1689435513
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2024
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing address5586 Legionnaire Dr, Cicero, NY 13039-3504

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Cicero