Organization Active NPI

Stephen Carson Physician Assistant

  • Physician Assistant
  • Clifton Park, NY
National Provider Identifier
1013879998
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
STEPHEN CARSON PHYSICIAN ASSISTANT
Practice address
632 Plank Rd Ste 103
Clifton Park, NY 12065-4883
Phone
(518) 414-5706
Fax
(518) 309-6213
NPI assigned
Nov 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Carson, PANPI 1336232594
Title
Owner
Phone
(607) 316-1583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

632 Plank Rd Ste 103
Clifton Park, NY 12065-4883

Mailing address

641 Grooms Rd # 186
Clifton Park, NY 12065-5912
Phone (607) 316-1583

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764288000000",
    "number": "1013879998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 GROOMS RD # 186",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120655912",
            "telephone_number": "607-316-1583",
            "fax_number": "607-316-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 PLANK RD STE 103",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654883",
            "telephone_number": "518-414-5706",
            "fax_number": "518-309-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN CARSON PHYSICIAN ASSISTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-28",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "607-316-1583",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.