Jake Defonzo, PA-C
NPI 1013502459 · Physician Assistant · Penn Wynne, PA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jake Defonzo, PA-C is a Physician Assistant provider in Penn Wynne, PA (NPI 1013502459).
Provider details
- NPI number
- 1013502459
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 026221-01 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2021-03-08
- Last updated
- 2025-09-01
- Certified
- 2025-09-01
Frequently asked questions
- What is Jake Defonzo's NPI number?
- Jake Defonzo's National Provider Identifier (NPI) is 1013502459, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jake Defonzo's specialty?
- Jake Defonzo is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jake Defonzo located?
- Jake Defonzo's practice location on file with NPPES is 100 E Lancaster Ave, Penn Wynne, PA 19096-3450.
- What is Jake Defonzo's phone number?
- The practice phone number listed in the NPPES registry for Jake Defonzo is (484) 476-2000.
- Does Jake Defonzo accept Medicare?
- Jake Defonzo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jake Defonzo's NPI active?
- Yes — Jake Defonzo's NPI (1013502459) is active in the NPPES registry as of the last update on 2025-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.