Jennifer T. Davis, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

99 E State St
Mab-GPCC
Gloversville, NY 12078-1203

Phone

(518) 773-5690

Fax

(518) 773-5620

NPI assigned

Jul 25, 2011

Last updated

Jan 21, 2015By 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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

State University of Ny Upstate Medical University, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nathan Littauer Hospital AssociationGroup PAC ID 4183618101, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdavis.nlh@hixny.net

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

• Nathan Littauer Hospital Association

  dba Nathan Littauer Hospital and Nursing Home

  • Skilled Nursing Facility
  • Gloversville, NY
  • NPI 1073541850
  Medicare reassignment Care Compare group NPD (past)
• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment
• Gloversville Physician Medicine Services PC

  • Hospitalist Physician
  • Gloversville, NY
  • NPI 1487907630
  Medicare reassignment
• Orange Emergency Services PC

  • Emergency Medicine Physician
  • Middletown, NY
  • NPI 1043589682
  Medicare reassignment
• Nathan Littauer Hospital & Nursing Home

  • General Acute Care Hospital
  • Gloversville, NY
  • NPI 1538296207
  NPD
• Nathan Littauer Hospital Association

  dba Nathan Littauer Hospital & Nursing Home

  • Rural Acute Care Hospital
  • Gloversville, NY
  • NPI 1336145168
  NPD (past)

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

• Nathan Littauer Hospital & Nursing Home

  • General Acute Care Hospital
  • Gloversville, NY
  • NPI 1538296207
  Care Compare affiliation
• Nathan Littauer Hospital Association

  • Pharmacy
  • Gloversville, NY
  • NPI 1285706655

  Hospital

  Care Compare affiliation
• Nathan Littauer Hospital Association

  dba Nathan Littauer Hospital & Nursing Home

  • Rural Acute Care Hospital
  • Gloversville, NY
  • NPI 1336145168
  Care Compare affiliation
• Nathan Littauer Hospital Association

  dba Nathan Littauer Primary/Specialty Care Centers

  • Clinic/Center
  • Gloversville, NY
  • NPI 1770671448

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1144508177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "address_2": "PO BOX 1250",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-773-5690",
            "fax_number": "518-773-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "address_2": "MAB-GPCC",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-773-5690",
            "fax_number": "518-773-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "T.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-25",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Albany LLC (CVS Pharmacy # 00793)
• Linda Daigle
• Holly Daley, LPN
• Michelle Lynn Darling, LPN
• Nicole Davidson
• Blaine Deal
• Victoria Elise Degiulio
• Debra Joan Delcostello, COTA
• April Delgado
• Katavia Delong

• Physician Assistant in Gloversville, NY
• Providers in Gloversville, 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 Jan 21, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.