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Jason Kettenring
NPI 1003645144 · Physician Assistant · New York, NY
Jason Kettenring is a Physician Assistant provider in New York, NY (NPI 1003645144).
Provider details
- NPI number
- 1003645144
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
177 Ft Washingtn Ave
New York, NY 10032-3733
Phone: (212) 305-2500
Approximate (ZIP-level) locationGet directions
Mailing address
14517 17th Rd
Whitestone, NY 11357-3026
Registry dates
- Enumerated
- 2024-07-29
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Frequently asked questions
- What is Jason Kettenring's NPI number?
- Jason Kettenring's National Provider Identifier (NPI) is 1003645144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Kettenring's specialty?
- Jason Kettenring is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jason Kettenring located?
- Jason Kettenring's practice location on file with NPPES is 177 Ft Washingtn Ave, New York, NY 10032-3733.
- What is Jason Kettenring's phone number?
- The practice phone number listed in the NPPES registry for Jason Kettenring is (212) 305-2500.
- Is Jason Kettenring's NPI active?
- Yes — Jason Kettenring's NPI (1003645144) is active in the NPPES registry as of the last update on 2024-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.