Active NPI 1427020056 Individual Practitioner Female Practitioner

Jennifer L Samples , PA-C

Physician Assistant • Middletown, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jennifer Samples, PA-C is a certified Physician Assistant practicing in Middletown, NY. With approximately 23 years of clinical experience since completing medical education in 2003, Jennifer Samples delivers high-quality medical care to the local community at 111 MALTESE DR.

Jennifer Samples is affiliated with Middletown Medical Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, established patient outpatient office visit, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Maltese Dr

Middletown, NY 109402115

Telephone 8453424774

Fax 8453428741

Associated Practice Facility / Clinic

🏢 Middletown Medical Pc Facility NPI 1902855828

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Middletown, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs +12.6 yrs vs City Avg

City Avg: 10.4 Yrs

State Avg: 12.0 Yrs

Regional Practice Density

74 Specialists

Practicing in Middletown, NY (15701 Statewide)

Telehealth Adoption Rate

18.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

27.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samples (23 Years) 23 Yrs

Middletown Specialty Average (10.4 Years) 10.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	313	87	$8.78	$8.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	192	88	$149.11	$94.55
80053 Blood test, comprehensive group of blood chemicals	170	81	$12.01	$10.29
80061 Blood test, lipids (cholesterol and triglycerides)	160	78	$14.44	$13.04
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	148	72	$17.39	$14.60
83036 Hemoglobin A1C level	124	68	$10.69	$9.42
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	101	68	$8.17	$7.61
82306 Vitamin d-3 level	76	56	$32.11	$28.85
84443 Blood test, thyroid stimulating hormone (TSH)	62	51	$17.58	$16.19
99213 Established patient office or other outpatient visit, typically 15 minutes	56	54	$111.18	$70.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$153.94	$90.48
99497 Advance care planning, first 30 minutes	47	47	$93.39	$59.29
82607 Cyanocobalamin (vitamin B-12) level	45	32	$15.97	$14.45
82746 Folic acid level	44	33	$15.62	$14.08
93000 Routine ekg using at least 12 leads including interpretation and report	39	37	$16.76	$13.00
83550 Iron binding capacity	26	20	$9.60	$8.24
83540 Iron level	26	20	$7.11	$6.10
82728 Ferritin (blood protein) level	26	20	$13.63	$13.36
80048 Blood test, basic group of blood chemicals (calcium, total)	21	13	$8.46	$8.29
84439 Thyroxine (thyroid chemical), free	19	12	$9.02	$8.84
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	18	18	$31.54	$21.37
G0008 Administration of influenza virus vaccine	17	17	$30.00	$29.40
81002 Urinalysis, manual test	14	12	$3.48	$3.41
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$19.31	$18.92
G0009 Administration of pneumococcal vaccine	11	11	$30.00	$29.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	289	89	$7.69	$7.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	182	85	$145.83	$113.33
80053 Blood test, comprehensive group of blood chemicals	161	78	$12.49	$10.16
80061 Blood test, lipids (cholesterol and triglycerides)	155	77	$15.12	$12.95
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	120	75	$8.13	$7.55
83036 Hemoglobin A1C level	118	71	$11.13	$9.22
84443 Blood test, thyroid stimulating hormone (TSH)	76	67	$19.10	$16.46
82306 Vitamin d-3 level	74	59	$30.61	$29.01
99213 Established patient office or other outpatient visit, typically 15 minutes	72	58	$101.60	$80.88
82607 Cyanocobalamin (vitamin B-12) level	59	42	$15.76	$14.78
82746 Folic acid level	58	41	$15.39	$14.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	54	54	$147.18	$117.24
99497 Advance care planning, first 30 minutes	52	52	$92.92	$73.14
82728 Ferritin (blood protein) level	38	25	$13.63	$13.36
93000 Routine ekg using at least 12 leads including interpretation and report	38	37	$19.01	$12.64
83550 Iron binding capacity	35	23	$8.74	$8.57
83540 Iron level	35	23	$6.47	$6.34
G0008 Administration of influenza virus vaccine	25	24	$30.00	$29.40
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	25	25	$30.78	$23.23
84439 Thyroxine (thyroid chemical), free	24	20	$9.02	$8.84
80048 Blood test, basic group of blood chemicals (calcium, total)	20	13	$8.46	$8.29
G0009 Administration of pneumococcal vaccine	17	17	$30.00	$29.40
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	16	15	$74.52	$73.03
81002 Urinalysis, manual test	15	13	$3.48	$3.41
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	14	14	$288.66	$282.89
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$23.37	$17.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	228	79	$3.41	$2.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	80	$143.89	$86.08
80053 Blood test, comprehensive group of blood chemicals	144	71	$12.27	$10.14
85610 Blood test, clotting time	140	17	$4.37	$4.22
80061 Blood test, lipids (cholesterol and triglycerides)	119	60	$14.51	$12.89
83036 Hemoglobin A1C level	104	57	$10.83	$9.23
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	99	62	$8.06	$7.60
84443 Blood test, thyroid stimulating hormone (TSH)	49	44	$17.78	$16.61
99213 Established patient office or other outpatient visit, typically 15 minutes	47	40	$102.42	$67.88
82306 Vitamin d-3 level	45	36	$29.60	$29.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$149.26	$51.62
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$17.09	$13.53
82607 Cyanocobalamin (vitamin B-12) level	31	22	$21.52	$14.09
82746 Folic acid level	30	23	$21.42	$13.29
99497 Advance care planning, first 30 minutes	30	30	$92.28	$38.54
G0008 Administration of influenza virus vaccine	28	25	$29.98	$29.45
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	20	19	$25.00	$24.73
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	20	19	$75.00	$74.17
84439 Thyroxine (thyroid chemical), free	18	17	$9.02	$8.93
83540 Iron level	17	13	$6.47	$6.39
83550 Iron binding capacity	17	13	$8.74	$8.63
81002 Urinalysis, manual test	16	14	$3.95	$3.45
82728 Ferritin (blood protein) level	16	12	$13.63	$13.46
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	15	15	$69.93	$68.53
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	14	14	$34.05	$22.78
80048 Blood test, basic group of blood chemicals (calcium, total)	14	13	$12.59	$7.77
G0103 Prostate cancer screening; prostate specific antigen test (psa)	13	13	$19.31	$19.10
99442 Telephone medical discussion with physician, 11-20 minutes	12	11	$101.22	$84.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	85	$144.23	$87.29
36415 Insertion of needle into vein for collection of blood sample	200	84	$3.34	$2.94
80053 Blood test, comprehensive group of blood chemicals	148	74	$12.78	$10.29
85610 Blood test, clotting time	145	19	$4.37	$4.29
80061 Blood test, lipids (cholesterol and triglycerides)	132	66	$14.40	$13.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	102	66	$8.06	$7.69
83036 Hemoglobin A1C level	100	53	$11.34	$9.26
82306 Vitamin d-3 level	59	44	$32.83	$29.52
84443 Blood test, thyroid stimulating hormone (TSH)	51	42	$18.69	$16.47
99213 Established patient office or other outpatient visit, typically 15 minutes	51	37	$102.43	$70.16
99497 Advance care planning, first 30 minutes	36	36	$94.96	$22.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$144.66	$36.85
81002 Urinalysis, manual test	33	27	$3.48	$3.48
93000 Routine ekg using at least 12 leads including interpretation and report	32	32	$18.86	$14.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	32	12	$25.05	$34.83
82728 Ferritin (blood protein) level	28	17	$13.63	$13.63
83550 Iron binding capacity	28	17	$8.74	$8.74
83540 Iron level	28	17	$6.47	$6.47
82746 Folic acid level	28	23	$14.70	$14.70
82607 Cyanocobalamin (vitamin B-12) level	27	22	$15.08	$15.08
G0008 Administration of influenza virus vaccine	25	24	$29.55	$18.59
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	17	17	$64.51	$64.51
84439 Thyroxine (thyroid chemical), free	13	12	$9.02	$9.02
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	11	11	$29.22	$24.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85610 Blood test, clotting time	316	50	$4.35	$4.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	222	47	$25.36	$21.29
36415 Insertion of needle into vein for collection of blood sample	202	78	$3.47	$2.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	77	$120.87	$98.72
80053 Blood test, comprehensive group of blood chemicals	124	60	$11.56	$10.33
80061 Blood test, lipids (cholesterol and triglycerides)	103	54	$13.40	$13.30
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	100	64	$8.21	$7.56
83036 Hemoglobin A1C level	84	46	$10.26	$9.54
99213 Established patient office or other outpatient visit, typically 15 minutes	71	36	$81.63	$69.11
82306 Vitamin d-3 level	49	38	$29.67	$29.42
84443 Blood test, thyroid stimulating hormone (TSH)	48	41	$16.80	$16.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$128.73	$103.11
99497 Advance care planning, first 30 minutes	34	34	$94.91	$76.60
93000 Routine ekg using at least 12 leads including interpretation and report	31	31	$18.71	$15.73
81002 Urinalysis, manual test	28	21	$3.75	$3.34
82746 Folic acid level	27	25	$14.76	$14.62
G0008 Administration of influenza virus vaccine	26	26	$29.55	$17.87
82607 Cyanocobalamin (vitamin B-12) level	26	24	$15.14	$15.01
83550 Iron binding capacity	21	14	$8.79	$8.67
83540 Iron level	21	14	$6.50	$6.41
82728 Ferritin (blood protein) level	19	13	$13.63	$13.50
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	18	18	$61.00	$61.00
80048 Blood test, basic group of blood chemicals (calcium, total)	16	12	$8.46	$8.40
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	14	13	$100.00	$42.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85610 Blood test, clotting time	506	61	$4.38	$4.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	388	48	$24.42	$20.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	98	$116.86	$96.46
36415 Insertion of needle into vein for collection of blood sample	228	91	$3.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	130	63	$12.07	$11.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	122	69	$8.74	$8.40
80061 Blood test, lipids (cholesterol and triglycerides)	114	52	$14.91	$14.58
83036 Hemoglobin A1C level	80	43	$11.13	$10.45
84443 Blood test, thyroid stimulating hormone (TSH)	60	43	$18.67	$18.30
82306 Vitamin d-3 level	59	43	$32.89	$32.23
99213 Established patient office or other outpatient visit, typically 15 minutes	45	27	$79.32	$66.39
81002 Urinalysis, manual test	45	38	$3.48	$3.41
99497 Advance care planning, first 30 minutes	38	38	$92.88	$73.87
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	17	$16.55	$16.22
82607 Cyanocobalamin (vitamin B-12) level	35	26	$16.75	$16.41
82746 Folic acid level	34	25	$16.34	$16.01
93000 Routine ekg using at least 12 leads including interpretation and report	32	31	$18.35	$15.37
G0008 Administration of influenza virus vaccine	31	31	$29.55	$17.52
84439 Thyroxine (thyroid chemical), free	31	20	$10.02	$9.82
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$124.44	$103.65
82728 Ferritin (blood protein) level	30	16	$15.15	$14.85
83540 Iron level	29	16	$7.19	$7.05
83550 Iron binding capacity	29	16	$9.71	$9.52
80048 Blood test, basic group of blood chemicals (calcium, total)	28	19	$9.52	$9.18
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	19	19	$29.35	$22.04
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	15	$16.53	$16.20
90662 Influenza vaccine split virus, preservative free	15	15	$54.42	$53.33
82044 Urine microalbumin (protein) analysis	12	11	$6.23	$6.11
82550 Creatine kinase (cardiac enzyme) level, total	12	11	$7.23	$7.09
90653 Vaccine for influenza for injection into muscle	12	12	$59.13	$57.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85610 Blood test, clotting time	423	64	$5.39	$4.75
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	382	58	$23.23	$18.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	87	$115.51	$90.80
36415 Insertion of needle into vein for collection of blood sample	220	89	$3.06	$2.93
80053 Blood test, comprehensive group of blood chemicals	135	69	$14.77	$12.69
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	126	75	$10.75	$9.40
80061 Blood test, lipids (cholesterol and triglycerides)	107	54	$18.57	$16.05
83036 Hemoglobin A1C level	69	40	$13.32	$11.75
84443 Blood test, thyroid stimulating hormone (TSH)	51	38	$23.05	$20.33
81002 Urinalysis, manual test	50	32	$3.65	$3.41
82306 Vitamin d-3 level	46	36	$42.44	$35.25
99213 Established patient office or other outpatient visit, typically 15 minutes	46	38	$78.08	$64.09
80305 Testing for presence of drug, read by direct observation	42	13	$16.03	$12.88
93000 Routine ekg using at least 12 leads including interpretation and report	41	38	$18.33	$15.25
99497 Advance care planning, first 30 minutes	40	39	$90.02	$75.18
87804 Detection test by immunoassay with direct visual observation for influenza virus	34	17	$16.44	$16.11
G0008 Administration of influenza virus vaccine	33	32	$29.55	$21.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$125.46	$104.51
90662 Influenza vaccine split virus, preservative free	27	27	$53.05	$51.99
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	19	$16.44	$16.11
83540 Iron level	20	14	$8.88	$7.83
83550 Iron binding capacity	20	14	$11.99	$10.57
84439 Thyroxine (thyroid chemical), free	19	11	$12.37	$10.91
80048 Blood test, basic group of blood chemicals (calcium, total)	17	15	$11.60	$10.23
82728 Ferritin (blood protein) level	16	11	$18.70	$16.49
82044 Urine microalbumin (protein) analysis	15	15	$6.28	$6.11
82607 Cyanocobalamin (vitamin B-12) level	15	15	$20.68	$18.24
82746 Folic acid level	14	14	$20.17	$17.79
82550 Creatine kinase (cardiac enzyme) level, total	12	12	$8.93	$7.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
85610 Blood test, clotting time	429	78	$5.39	$5.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	388	75	$21.67	$16.93
36415 Insertion of needle into vein for collection of blood sample	167	87	$3.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	63	$114.57	$89.15
80053 Blood test, comprehensive group of blood chemicals	95	58	$14.49	$10.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	75	63	$10.66	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	74	46	$18.37	$13.50
83036 Hemoglobin A1C level	52	37	$13.32	$13.05
81002 Urinalysis, manual test	49	45	$3.50	$3.43
99213 Established patient office or other outpatient visit, typically 15 minutes	47	39	$78.02	$62.50
87804 Detection test by immunoassay with direct visual observation for influenza virus	47	23	$16.44	$11.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	40	$46.77	$38.30
84443 Blood test, thyroid stimulating hormone (TSH)	37	30	$23.05	$22.59
82962 Blood glucose (sugar) test performed by hand-held instrument	37	18	$3.21	$2.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$124.19	$101.38
93000 Routine ekg using at least 12 leads including interpretation and report	33	32	$18.34	$15.05
82306 Vitamin d-3 level	32	25	$40.61	$39.80
99497 Advance care planning, first 30 minutes	31	31	$86.75	$71.02
G0008 Administration of influenza virus vaccine	28	28	$29.55	$26.91
90662 Influenza vaccine split virus, preservative free	24	24	$46.14	$45.22
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	18	$16.44	$11.75
84439 Thyroxine (thyroid chemical), free	16	13	$12.37	$12.12
82044 Urine microalbumin (protein) analysis	13	12	$6.28	$4.08

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 009761

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License

009761 (NY)

Hospital & Practice Group Affiliations

Middletown Medical Pc

95 Maltese Dr, Middletown, NY 109402115

Phone: 8453424774

Middletown Medical Pc

47 N Plank Rd, Newburgh, NY 125502114

Phone: 8455612038

Middletown Medical Pc

111 Maltese Dr, Middletown, NY 109402115

Phone: 8453424774

Middletown Medical Pc

75 Maltese Dr, Middletown, NY 109402115

Phone: 8453424774

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Dahlia Banerji , MD

Internal Medicine - Cardiovascular Disease

NPI 1003103367

Doctor of Medicine (M.D.)

Dr. Corina Cristescu , MD

Internal Medicine

NPI 1003848136

Doctor of Medicine (M.D.)

Dr. Natalia Rezvina , MD

Obstetrics & Gynecology

NPI 1023041100

Doctor of Medicine (M.D.)

Dr. Christopher Allen , MD

Obstetrics & Gynecology

NPI 1023217148

Doctor of Medicine (M.D.)

Christine Quinlan , FNP

Nurse Practitioner - Family

NPI 1023297983

Family Nurse Practitioner

Erin Tondini , FNP

Nurse Practitioner - Family

NPI 1043715394

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active August 02, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2017

Registered at 111 MALTESE DR, MIDDLETOWN, NY 109402115 (Tel: 8453424774)

📍

Updated Business Mailing Address August 02, 2017

Registered at 111 MALTESE DRIVE, MIDDLETOWN, NY 10940 (Tel: 8453424774)

👤

Provider Name / Credentials Updated August 02, 2017

Recorded as JENNIFER SAMPLES, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2017

Physician Assistant (License #009761 in NY)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 109 ROUTE 376, HOPEWELL JUNCTION, NY 125337212 (Tel: 8452219141)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5 HUDSON HARBOUR DR, POUGHKEEPSIE, NY 126015348 (Tel: 2012189342)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JENNIFER HEINZE, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #009761 in NY)

🟢

Initial NPI Registration & Enumeration February 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427020056

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 07, 2006

Last Update: August 02, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 Maltese Drive

Middletown, NY 10940

Phone: 8453424774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.