Active NPI
Stephen Carson Physician Assistant
- Physician Assistant
- Clifton Park, NY
National Provider Identifier
1013879998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Carson, PA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Clifton Park, NY
- NPI 1336232594
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.