Robert J Berrick, RPA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000927 Issued in NY

Practice address

101 Adirondack Dr Ste 2
Ticonderoga, NY 12883-9334

Phone

(518) 585-6708

Fax

(518) 585-3260

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Warrensburg, NY
  • NPI 1194738344

  NY

  Medicare reassignment
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Queensbury, NY
  • NPI 1386657534
  NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Salem, NY
  • NPI 1982417119

  Physician Assistant

  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1093746372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ADIRONDACK DR STE 2",
            "city": "TICONDEROGA",
            "state": "NY",
            "postal_code": "128839334",
            "telephone_number": "518-585-6708",
            "fax_number": "518-585-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRICK",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "000927",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VT",
            "license": "550030269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01273270",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francine Brett Bassett, FNP
• Dawn M Bazan, MS,OTR/L
• Amanda Bechtold, LMSW
• Warren Bruce Bell
• Jessica Bennett, RTR
• Wendy Lynn Bresett, PT
• Nancy Alexandra Caffrey, PA-C
• Chaddher Imports Inc
• Glen D Chapman, MD
• Heather Conway, PTA

• Physician Assistant in Ticonderoga, NY
• Providers in Ticonderoga, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.