Active NPI
Daniel Gerber St. Pierre, PA
- Physician Assistant
- Campbell Hall, NY
National Provider Identifier
1023440476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007305
- Practice address
- 471 Ridge Rd
Campbell Hall, NY 10916-2606 - Phone
- (845) 381-7660
- NPI assigned
- Aug 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007305 | NY | Primary |
Addresses
Primary practice location
471 Ridge Rd
Campbell Hall, NY 10916-2606
Mailing address
471 Ridge Rd
Campbell Hall, NY 10916-2606
Phone (845) 381-7660
Other names 1
- Mr. Daniel Gerber St.Pierre
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007305 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375833600000",
"number": "1023440476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "471 RIDGE RD",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162606",
"telephone_number": "845-381-7660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 RIDGE RD",
"city": "CAMPBELL HALL",
"state": "NY",
"postal_code": "109162606",
"telephone_number": "845-381-7660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. PIERRE",
"first_name": "DANIEL",
"middle_name": "GERBER",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-07",
"last_updated": "2013-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIEL",
"last_name": "ST.PIERRE",
"middle_name": "GERBER",
"prefix": "MR.",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Campbell Hall, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.