Individual provider · Type 1 NPI

Jessica Anna Lidwin, PA-C

Physician Assistant · Summit, NJ

NPI number 1386596799 Active

Practice location

33 Overlook Rd Ste 301
Summit, NJ 07901-3563

Call (908) 522-5045 Map

Fax (908) 522-5353

Mailing address

PO Box 416457
Boston, MA 02241-6457

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00998600 (NJ)

Physician Assistant: 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, orde…

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About NPI 1386596799

Jessica Anna Lidwin, PA-C's National Provider Identifier is 1386596799, issued on Feb 10, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Summit, NJ. The record was last updated on May 11, 2026.