Individual provider · Type 1 NPI

Jenna Ilyssa Meyers

Physician Assistant · New York, NY

NPI number 1801764998 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Mailing address

104 Breeley Blvd
Melville, NY 11747-5355

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

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 1801764998

Jenna Ilyssa Meyers's National Provider Identifier is 1801764998, issued on Oct 29, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in New York, NY. The record was last updated on Feb 24, 2026.