JESSE MICHAEL KOZUB MD - NPI 1003754029 - Student in an Organized Health Care Education/Training Program in Williamsville, NY

Q: What is Jesse Kozub's NPI number?

The NPI number for Jesse Kozub is 1003754029. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Q: What is Jesse Kozub's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Kozub was last updated on March 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jesse Michael Kozub Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE MICHAEL KOZUB MD (NPI 1003754029) is an individual student in an organized health care education/training program in Williamsville, New York and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1003754029

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJESSE MICHAEL KOZUBCredential: MD

Location Address850 HOPKINS RDWilliamsville, NY 14221-1729

Mailing Address515 Main StOlean, NY 14760-1513 · (716) 373-2600 · Fax (716) 701-1557

Phone(716) 688-9641

Fax(716) 829-2447

Sole ProprietorNo

Enumeration DateMarch 23, 2026

NPPES CertifiedMarch 23, 2026

✔ NPI 1003754029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

850 HOPKINS RD, Williamsville, NY 14221

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