Erin P Adams, PA-C
Individual provider Active NPI Physician Assistant · Niskayuna, NY
NPI 1508205907 · NPPES record last updated May 7, 2014
Key facts
- NPI
- 1508205907
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 016638 (NY)
- Practice address
- 2125 River Rd
Suite 302
Niskayuna, NY 12309-1135 - Phone
- (518) 243-1313
- Fax
- (518) 831-7007
- NPI assigned
- Jun 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130905000517 | NY | Practitioner - Physician Assistant | 7517100860 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellis Hospital | Past |
Accepting new patients |
Interoperability endpoints
- erinadams@cmgny.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 016638 | NY | Yes |
Addresses
Primary practice location
2125 River Rd
Suite 302
Niskayuna, NY 12309-1135
Mailing address
600 McClellan St
Schenectady, NY 12304-1009
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200268352001 | Other | CDPHP | |
| 131122000076 | Other | FIDELIS CARE OF NEW YORK | |
| 00424259001 | Other | BLUE SHIELD OF NENY |
Other names
- Erin P Moore
Other providers in Niskayuna, NY
- Erika Stephanie Abrantes-Erdman
- Adirondack Care Transportation Inc
- Adk Strategy Group LLC
- Advanced Biomechanics
- Amanda Agalar
- Debra Ann Ahola
All providers in Niskayuna, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.