NPIMap

Individual provider Active NPI

Jeffrey Alan Dodge, DO

  • Obstetrics & Gynecology Physician
  • Plattsburgh, NY
National Provider Identifier
1114993482
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
219394 Issued in NY
Practice address
46 Broad Street, Suite a
Plattsburgh, NY 12901-3301
Phone
(518) 566-9452
Fax
(518) 566-9831
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 219394 NY Primary

Addresses

Primary practice location

46 Broad Street, Suite a
Plattsburgh, NY 12901-3301

Mailing address

46 Broad Street, Suite a,
Plattsburgh, NY 12901-3301
Phone (518) 566-9452

Other identifiers 1

IdentifierTypeStateIssuer
02102725MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110419000822 NY Practitioner - Obstetrics/Gynecology 6608817473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Medical Center 85 clinicians

Practice addresses (Care Compare)

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141

Hospital & facility affiliations

  • Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • The University of Vermont Health Network-Alice Hy Hospital, Malone, NY, CCN 331321

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Health Regional Medical, P.C. Obstetrics & Gynecology CurrentSince Aug 17, 2025 Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Apr 1, 2020 Accepting new patients
Adirondack Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Adirondack Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Northern Adirondack Planned Parenthood Inc Past Accepting new patients
Adirondack Medical Center Past Accepting new patients
University of Vermont Medical Group New York PLLC Obstetrics & Gynecology Past Accepting new patients

Locations

46 Broad St
Ste A
Plattsburgh, NY 12901
Phone (518) 566-9452

206 Cornelia St
Ste 306
Plattsburgh, NY 12901
Phone (518) 566-9452

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

210 Cornelia St
Ste 201
Plattsburgh, NY 12901
Phone (518) 563-3260

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

309 County Route 47
Ste 1
Saranac Lake, NY 12983
Phone (518) 891-2688

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

Interoperability endpoints

  • Direct secure messaging: jeffrey.dodge.p2@direct.usppny.nextgenshare.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1114993482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 BROAD STREET, SUITE A,",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013301",
            "telephone_number": "518-566-9452",
            "fax_number": "518-562-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 BROAD STREET, SUITE A",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129013301",
            "telephone_number": "518-566-9452",
            "fax_number": "518-566-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "219394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02102725",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.