Active NPIIndividual provider

Jefferson Su, PA-C

Physician Assistant in Dobbs Ferry, New York

NPI Number1386555456
Practice location
555 Broadway, Dobbs Ferry, NY 10522-1186
Fax
—
Last updated
September 28, 2026

Jefferson Su is a Physician Assistant based in Dobbs Ferry, NY. Jefferson Su practices in Dobbs Ferry, NY and has the professional credentials of PA-C. The NPI Number for Jefferson Su is 1386555456. The current practice location address for Jefferson Su is 555 Broadway, Dobbs Ferry, NY 10522-1186 and can be reached out via phone at 914-674-7600.

Provider Profile Details

NPI Number
1386555456
Provider Name
Jefferson Su
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
555 Broadway, Dobbs Ferry, NY 10522-1186
Phone Number
914-674-7600
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
September 16, 2026
Last Update Date
September 28, 2026
Certification Date
September 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Broadway
Dobbs Ferry, NY 10522-1186
Zip
10522-1186
Phone Number
914-674-7600
Dobbs Ferry, NY 10522Get directions →

Provider Business Mailing Address Details

Address
555 Broadway
Dobbs Ferry, NY 10522-1186
City
Dobbs Ferry
State
NY
Zip
10522-1186
Phone Number
914-674-7600

License Information

Taxonomy
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jefferson Su, PA-C?

The NPI number of Jefferson Su, PA-C is 1386555456. It was assigned on September 16, 2026 and is currently active in the NPPES registry.

What is the specialty of Jefferson Su, PA-C?

Jefferson Su, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Jefferson Su, PA-C practice?

The practice location is 555 Broadway, Dobbs Ferry, NY 10522-1186. The office can be reached at 914-674-7600 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386555456 directly on the NPPES registry website.

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