Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Michele Rottkamp, PA-C

Individual provider Physician Assistant · NPI 1871354431

Jennifer Michele Rottkamp, PA-C is a Physician Assistant in Stony Brook, New York. Qualified in 2024, 2 years ago. Practices with New York Spine and Brain Surgery, University Faculty Practice Corporat, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

100 Nicolls Road Hsc T12 Rm 080
Stony Brook, NY 11794-8122
Phone: (631) 444-1213
Fax: (631) 444-1535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 Hospital Rd, Patchogue, NY 11772-4870 — (631) 654-7100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (NY)

Record details

NPI number1871354431
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 22, 2024
Last updated in NPPESDecember 3, 2024
Certification dateDecember 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice New York Spine And Brain Surgery, University Faculty Practice Corporat — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at New York Spine and Brain Surgery, University Faculty Practice Corporat

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 59 clinicians in the practice; 12 are shown here.

Other providers in Stony Brook