Individual provider Active NPI

Todd William Jones, PA-C

  • Medical Physician Assistant
  • Callicoon, NY
National Provider Identifier
1306138797
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
014879 Issued in NY
Practice address
8881 State Route 97
Callicoon, NY 12723-5052
Phone
(845) 887-5693
Fax
(845) 887-5694
NPI assigned
May 4, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X 014879 NY Primary

Addresses

Primary practice location

8881 State Route 97
Callicoon, NY 12723-5052

Mailing address

PO Box 942
Fort Drum, NY 13602-0942
Phone (706) 570-2614

Other practice location 1

707 E Main St
Middletown, NY 10940-2650
Phone (845) 333-7575

Other practice location 2

38 Concord Rd
Monticello, NY 12701-3210
Phone (845) 333-6500

Other practice location 3

BLDG 10400 S Riva Ridge Loop
Fort Drum, NY 13602
Phone (706) 570-2614

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tjones49115@direct.garnethealth.org Garnet Health Doctors PC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130403000242 NY Practitioner - Physician Assistant 6709021215 Reassigns benefits to 6 organizations
I20240510001135 PA Practitioner - Physician Assistant 6709021215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Valley Hospital Inc.Group PAC ID 2860388337, shared by 3 NPIs, 46 clinicians
Sullivan Emergency Services PCGroup PAC ID 7719146927, 10 clinicians

Practice addresses (Care Compare)

2 Titus PL
Walton, NY 13856-1455
Phone (607) 865-2400

8881 State Route 97
Callicoon, NY 12723-5052
Phone (845) 887-5530

Hospital & facility affiliations

  • Delaware Valley Hospital, Inc Hospital, Walton, NY, CCN 331312
  • Garnet Health Medical Center Catskills Hospital, Callicoon, NY, CCN 331303
  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • Garnet Health Medical Center Catskills Nursing home, CCN 33Z303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
014879NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Hospital, Inc CurrentSince Jun 5, 2023 Accepting new patients
Elizabethtown Community Hospital CurrentSince Feb 4, 2017 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Feb 1, 2021 Accepting new patients
River Hospital, Inc. Medical CurrentSince Jan 21, 2014 Accepting new patients
Wayne Memorial Hospital CurrentSince Apr 7, 2024 Accepting new patients
Delaware Valley Hospital, Inc Current Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 1, 2021 Accepting new patients
Adirondack Medical Center CurrentSince Feb 2, 2015 Accepting new patients

Locations

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

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

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

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

2 Titus Pl
#13202
Walton, NY 13856
Phone (607) 865-2197

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

1 Titus Pl
Walton, NY 13856
Phone (607) 337-4700

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: todd.jones.p2@direct.usppny.nextgenshare.com
  • Direct secure messaging: cpttoddjones@hiemail.healtheconnections.org

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1306138797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "FORT DRUM",
            "state": "NY",
            "postal_code": "136020942",
            "telephone_number": "706-570-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 STATE ROUTE 97",
            "city": "CALLICOON",
            "state": "NY",
            "postal_code": "127235052",
            "telephone_number": "845-887-5693",
            "fax_number": "845-887-5694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 E Main St",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109402650",
            "country_code": "US",
            "telephone_number": "845-333-7575",
            "fax_number": "845-333-7139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38 Concord Rd",
            "address_purpose": "LOCATION",
            "city": "Monticello",
            "state": "NY",
            "postal_code": "127013210",
            "country_code": "US",
            "telephone_number": "845-333-6500",
            "fax_number": "845-333-6501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "BLDG 10400 S Riva Ridge Loop",
            "address_purpose": "LOCATION",
            "city": "Fort Drum",
            "state": "NY",
            "postal_code": "13602",
            "country_code": "US",
            "telephone_number": "706-570-2614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TODD",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tjones49115@direct.garnethealth.org",
            "affiliation": "Y",
            "affiliationName": "Garnet Health Doctors PC",
            "address_1": "8881 State Route 97",
            "city": "Callicoon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "127235052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Callicoon, NY

Sources for this page

Verify at the official NPI Registry.