NPI 1073794012 · live from the CMS NPI Registry
Jacob Manuel Aja, PA-C
Physician Assistant, Surgical in Annapolis, MD. National Provider Identifier 1073794012, active.
NPI record
| NPI | 1073794012 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 2000 Medical Pkwy, Suite 101, Annapolis, MD 21401 |
| Practice phone | 410-295-8900 |
| Enumerated | November 19, 2007 |
| Last updated | October 22, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical | 363AS0400X | PA030518 (DC) |
| Physician Assistant, Surgical primary | 363AS0400X | C03809 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.