Individual provider Active NPI

David Tolge, RPA-C

  • Physician Assistant
  • Amsterdam, NY
National Provider Identifier
1518181817
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008365 Issued in NY
Practice address
5010 State Hwy 30
Suite 205
Amsterdam, NY 12010-7532
Phone
(518) 842-2663
Fax
(518) 842-4861
NPI assigned
Apr 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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 008365 NY Primary

Addresses

Primary practice location

5010 State Hwy 30
Suite 205
Amsterdam, NY 12010-7532

Mailing address

5010 State Hwy 30
Suite 205
Amsterdam, NY 12010-7532
Phone (518) 842-2663

Other identifiers 2

IdentifierTypeStateIssuer
J400034920OtherNYMEDICARE
P39447OtherNYMEDICARE UPIN

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
I20050805000525 NY Practitioner - Physician Assistant 0244269637 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians

Practice addresses (Care Compare)

233 Saratoga Rd
Glenville, NY 12302-4508
Phone (518) 930-7497

332 S Kingsboro Ave
Gloversville, NY 12078-4612
Phone (518) 752-3221

446 Fairview Ave
Suite 200
Hudson, NY 12534-1048
Phone (518) 267-3496

4942 State Hwy 30
Suite 100
Amsterdam, NY 12010-7520
Phone (518) 627-6336

7375 Oswego Rd
Suite 1
Liverpool, NY 13090-3717
Phone (315) 291-0064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8365NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Healthcare CurrentSince Jan 1, 2010 Accepting new patients
St Marys Healthcare CurrentSince Jan 1, 2010 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant Past Accepting new patients
Orthopedicsny, LLP Past Accepting new patients

Locations

427 Guy Park Ave
#13282
Amsterdam, NY 12010
Phone (518) 842-1900

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

Organizations & group practices 7

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1518181817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 STATE HWY 30",
            "address_2": "SUITE 205",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-2663",
            "fax_number": "518-842-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 STATE HWY 30",
            "address_2": "SUITE 205",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120107532",
            "telephone_number": "518-842-2663",
            "fax_number": "518-842-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLGE",
        "first_name": "DAVID",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "J400034920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "P39447",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.