JESSICA ROSE DEJNEKA
NPI 1861294332
Physician Assistant - Medical in Glenside, PA

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

Active since March 26, 2025PECOS Enrolled

450 S EASTON RD, GLENSIDE, PA 19038(607) 684-3030 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jessica Rose Dejneka NPPES

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

JESSICA ROSE DEJNEKA (NPI 1861294332) is an individual medical provider in Glenside, Pennsylvania, licensed in Pennsylvania (MA066761) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861294332

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJESSICA ROSE DEJNEKA

Location Address450 S EASTON RDGlenside, PA 19038-3295

Mailing Address3744 Manayunk AvePhiladelphia, PA 19128-3705 · (607) 684-3030

Phone(607) 684-3030

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 26, 2025

Last NPPES UpdateJuly 24, 2025

NPPES CertifiedJuly 24, 2025

✔ NPI 1861294332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA066761

450 S EASTON RD, Glenside, PA 19038

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Rose Dejneka is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355840224

PECOS Enrollment IDI20250818002399

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390115

Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County

Emergency services

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROF. KATHLEEN DEMERY VALVERDE MS, CGC

Genetic Counselor, MS