Active NPI
Patricia Anne Pulver, P.A.
- Physician Assistant
- Albany, NY
National Provider Identifier
1073829578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002834
- Practice address
- 1220 Washington Avenue
Building 4
Albany, NY 12226-2050 - Phone
- (518) 457-8126
- NPI assigned
- Aug 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002834-1 | NY | |
| Physician Assistant | 363A00000X | 002834 | NY | Primary |
Addresses
Primary practice location
1220 Washington Avenue
Building 4
Albany, NY 12226-2050
Mailing address
New York State Department of Corrections and Community
1220 Washington Ave, Building 4
Albany, NY 12226-2050
Phone (518) 445-7565
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002834-1 | NY | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1073829578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NEW YORK STATE DEPARTMENT OF CORRECTIONS AND COMMUNITY",
"address_2": "1220 WASHINGTON AVE, BUILDING 4",
"city": "ALBANY",
"state": "NY",
"postal_code": "122262050",
"telephone_number": "518-445-7565",
"fax_number": "518-445-6157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 WASHINGTON AVENUE",
"address_2": "BUILDING 4",
"city": "ALBANY",
"state": "NY",
"postal_code": "122262050",
"telephone_number": "518-457-8126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULVER",
"first_name": "PATRICIA",
"middle_name": "ANNE",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-23",
"last_updated": "2024-12-03",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002834-1",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.