NPIMap

Organization Active NPI

Kaitlin Kuwitzky PA PLLC

  • Medical Physician Assistant
  • Malta, NY
National Provider Identifier
1508678566
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
KAITLIN KUWITZKY PA PLLC
Practice address
21 Coronado Way
Malta, NY 12020-6342
Phone
(518) 791-2786
Fax
(877) 583-1284
NPI assigned
Jan 24, 2025
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Mrs. Kaitlin Kuwitzky, PANPI 1245502731
Title
Physician Assistant
Phone
(518) 346-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

21 Coronado Way
Malta, NY 12020-6342

Mailing address

PO Box 3203
Schenectady, NY 12303-0203
Phone (518) 346-3100

Other practice location 1

63 East Rd
Troy, NY 12180-6860
Phone (518) 346-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250224002560 NY Part B Supplier - Clinic/Group Practice 6901326792 Receives reassigned benefits from 1 practitioner
Practice locations: Malta, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1508678566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3203",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123030203",
            "telephone_number": "518-346-3100",
            "fax_number": "877-583-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CORONADO WAY",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120206342",
            "telephone_number": "518-791-2786",
            "fax_number": "877-583-1284"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "63 East Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121806860",
            "country_code": "US",
            "telephone_number": "518-346-3100",
            "fax_number": "877-583-1284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAITLIN KUWITZKY PA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-08-01",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "KUWITZKY",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "518-346-3100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.