Jennifer Kish, MHS,PA (ASCP)

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

000405-01 Issued in NY

Practice address

100 Park St
Glens Falls, NY 12801-4447

Phone

(518) 926-3836

Fax

(518) 926-3857

NPI assigned

Dec 19, 2023

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Jennifer Nash Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1023886041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 NELSON AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663419",
            "telephone_number": "617-308-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014447",
            "telephone_number": "518-926-3836",
            "fax_number": "518-926-3857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 Church St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661090",
            "country_code": "US",
            "telephone_number": "518-583-8752",
            "fax_number": "518-860-2661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISH",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MHS,PA (ASCP)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "NY",
            "license": "000405-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "NASH",
            "prefix": "MS.",
            "credential": "MHS,PA (ASCP)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Anatomic Pathology Physician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Anatomic Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.