Active NPI
Kandy Hosterman, PA
- Physician Assistant
- Clifton Park, NY
National Provider Identifier
1376509307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 002349
- Practice address
- 1 Tallow Wood Dr
Suite 2
Clifton Park, NY 12065-2807 - Phone
- (518) 373-4555
- Fax
- (518) 371-3839
- NPI assigned
- Apr 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002349 | NY | Primary |
Addresses
Primary practice location
1 Tallow Wood Dr
Suite 2
Clifton Park, NY 12065-2807
Mailing address
PO Box 689
Troy, NY 12181-0689
Phone (518) 268-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002349 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1376509307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689",
"city": "TROY",
"state": "NY",
"postal_code": "121810689",
"telephone_number": "518-268-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TALLOW WOOD DR",
"address_2": "SUITE 2",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120652807",
"telephone_number": "518-373-4555",
"fax_number": "518-371-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSTERMAN",
"first_name": "KANDY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "002349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.