Individual provider Active NPI

David J Paska, RPA-C

  • Physician Assistant
  • Glens Falls, NY
National Provider Identifier
1386600591
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003349 Issued in NY
Practice address
100 Broad St
Glens Falls, NY 12801-4349
Phone
(518) 792-2223
Fax
(518) 792-8231
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003349 NY Primary

Addresses

Primary practice location

100 Broad St
Glens Falls, NY 12801-4349

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

1299 Route 9
Gansevoort, NY 12831-1560
Phone (518) 761-6961

Other practice location 2

48 East St
Fort Edward, NY 12828-1811
Phone (518) 824-8630

Other practice location 3

3767 Main St
Warrensburg, NY 12885-1890
Phone (518) 623-2844

Other identifiers 1

IdentifierTypeStateIssuer
01362394MedicaidNY

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address david.paska.1@1823.direct.athenahealth.com
Direct Messaging Address david.paska.1@1823.direct.athenahealth.com
Direct Messaging Address david.paska.1@1823.direct.athenahealth.com
Direct Messaging Address david.paska.1@1823.direct.athenahealth.com

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
I20101217000769 NY Practitioner - Physician Assistant 8224226295 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003349NYMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc CurrentSince Jun 1, 2016 Accepting new patients

Locations

1299 Route 9
Gansevoort, NY 12831
Phone (518) 761-6961

102 Park St
Glens Falls, NY 12801
Phone (518) 793-5601

79 North St
Granville, NY 12832
Phone (518) 642-0612

25 Willowbrook Rd
Ste 2
Queensbury, NY 12804
Phone (518) 793-9156

Interoperability endpoints

  • Direct secure messaging: david.paska.1@1823.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1386600591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300",
            "fax_number": "518-824-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014349",
            "telephone_number": "518-792-2223",
            "fax_number": "518-792-8231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Route 9",
            "address_purpose": "LOCATION",
            "city": "Gansevoort",
            "state": "NY",
            "postal_code": "128311560",
            "country_code": "US",
            "telephone_number": "518-761-6961",
            "fax_number": "518-761-1006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 East St",
            "address_purpose": "LOCATION",
            "city": "Fort Edward",
            "state": "NY",
            "postal_code": "128281811",
            "country_code": "US",
            "telephone_number": "518-824-8630",
            "fax_number": "518-824-2302",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3767 Main St",
            "address_purpose": "LOCATION",
            "city": "Warrensburg",
            "state": "NY",
            "postal_code": "128851890",
            "country_code": "US",
            "telephone_number": "518-623-2844",
            "fax_number": "518-623-3416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASKA",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01362394",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.paska.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "100 Broad St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.paska.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3767 Main St",
            "city": "Warrensburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128851890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.paska.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "48 East St",
            "city": "Fort Edward",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128281811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.paska.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1299 Route 9",
            "city": "Gansevoort",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128311560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.