Individual provider Active NPI

Joel C Gish, RPA-C

  • Physician Assistant
  • Chester, NY
National Provider Identifier
1306813688
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051817 Issued in PA
Practice address
359 Gibson Hill Rd
Chester, NY 10918
Phone
(845) 572-3412
NPI assigned
Mar 4, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 010328 NY
Physician Assistant 363A00000X MA051817 PA Primary

Addresses

Primary practice location

359 Gibson Hill Rd
Chester, NY 10918

Mailing address

10 Hellbrook LN
Ulster Park, NY 12487-5209
Phone (845) 658-7763

Other practice location 1

151 Bowne Drive
Walden, NY 12586
Phone (845) 572-3477

Other identifiers 3

IdentifierTypeStateIssuer
284221OtherNYHMO - ELKA PARK
02690866MedicaidNY
284057OtherNYHMO - ULSTER PARK

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050325000554 NY Practitioner - Physician Assistant 3971565136 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical Group, P.C. CurrentSince May 13, 2024 Accepting new patients
Oak Valley Medical & Dental, PC PastSince Jan 21, 2022 Accepting new patients

Locations

21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733

144 Main St
Highland Fls, NY 10928
Phone (845) 446-4655

1200 State Route 208
Ste 13
Monroe, NY 10950
Phone (845) 783-0911

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1306813688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HELLBROOK LN",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875209",
            "telephone_number": "845-658-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 GIBSON HILL RD",
            "city": "CHESTER",
            "state": "NY",
            "postal_code": "10918",
            "telephone_number": "845-572-3412"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 Bowne Drive",
            "address_purpose": "LOCATION",
            "city": "Walden",
            "state": "NY",
            "postal_code": "12586",
            "country_code": "US",
            "telephone_number": "845-572-3477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GISH",
        "first_name": "JOEL",
        "middle_name": "C",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-04",
        "last_updated": "2023-03-07",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010328",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO - ELKA PARK",
            "identifier": "284221",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02690866",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO - ULSTER PARK",
            "identifier": "284057",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, NY

Sources for this page

Verify at the official NPI Registry.