Active NPIIndividual provider

Jessica A Lidwin, PA-C

Physician Assistant in Summit, New Jersey

NPI Number1386596799
Practice location
33 Overlook RD Ste 301, Summit, NJ 07901-3563
Fax
908-522-5353
Last updated
May 11, 2026

Jessica Anna Lidwin is a Physician Assistant based in Summit, NJ. Jessica Anna Lidwin practices in Summit, NJ and has the professional credentials of PA-C. The NPI Number for Jessica Anna Lidwin is 1386596799 and holds a License No. 25MP00998600 (NJ). The current practice location address for Jessica Anna Lidwin is 33 Overlook RD Ste 301, Summit, NJ 07901-3563 and can be reached out via phone at 908-522-5045 and via fax at 908-522-5353.

Provider Profile Details

NPI Number
1386596799
Provider Name
Jessica Anna Lidwin
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
33 Overlook RD Ste 301, Summit, NJ 07901-3563
Phone Number
908-522-5045
Fax Number
908-522-5353
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 10, 2026
Last Update Date
May 11, 2026
Certification Date
May 11, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Overlook RD Ste 301
Summit, NJ 07901-3563
City
Summit
Zip
07901-3563
Phone Number
908-522-5045
Fax Number
908-522-5353
Summit, NJ 07901Get directions →

Provider Business Mailing Address Details

Address
Po Box 416457
Boston, MA 02241-6457
City
Boston
State
MA
Zip
02241-6457
Phone Number
844-362-1735
Fax Number
973-290-7495

License Information

License Number
25MP00998600
License State
NJ
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 Jessica A Lidwin, PA-C?

The NPI number of Jessica A Lidwin, PA-C is 1386596799. It was assigned on February 10, 2026 and is currently active in the NPPES registry.

What is the specialty of Jessica A Lidwin, PA-C?

Jessica A Lidwin, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00998600.

Where does Jessica A Lidwin, PA-C practice?

The practice location is 33 Overlook RD Ste 301, Summit, NJ 07901-3563. The office can be reached at 908-522-5045 (phone) or 908-522-5353 (fax).

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 1386596799 directly on the NPPES registry website.

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