Individual provider Active NPI

Ryan Joseph Pelton

  • Physician Assistant
  • Clifton Park, NY
National Provider Identifier
1609569102
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1694 US-9
Clifton Park, NY 12065
Phone
(518) 930-7486
NPI assigned
May 31, 2023
Last updated
May 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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 Primary

Addresses

Primary practice location

1694 US-9
Clifton Park, NY 12065

Mailing address

55 Michelle Dr
Clifton Park, NY 12065-1671
Phone (518) 522-9186

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
I20230814001089 NY Practitioner - Physician Assistant 8921460676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
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)

11 Moriah Rd
Unit 102
Glenmont, NY 12077-2981
Phone (518) 626-8665

1425 Route 300
Newburgh, NY 12550-2908
Phone (845) 674-9735

1438 Western Ave
Albany, NY 12203-3421
Phone (518) 649-9986

1694 Route 9
Halfmoon, NY 12065-8816
Phone (518) 930-7486

1708 Altamount Ave
Schenectady, NY 12303-2137
Phone (518) 344-4778

202 Broad St
Glens Falls, NY 12801-4146
Phone (518) 480-6240

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

445 Balltown Rd
Suite 1
Schenectady, NY 12304-2269
Phone (518) 387-3566

474 Route 3
Plattsburgh, NY 12901-6538
Phone (518) 536-3071

5001 State Hwy 23
Oneonta, NY 13820-4508
Phone (607) 376-5346

573 N Greenbush Rd
Rensselaer, NY 12144-9451
Phone (518) 268-2345

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

800 New Loudon Rd
Suite 1400
Latham, NY 12110-3900
Phone (518) 218-4200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnow Urgent Care, PC CurrentSince Aug 28, 2023 Accepting new patients

Locations

1694 Route 9
Halfmoon, NY 12065
Phone (518) 930-7486

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

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

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1609569102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MICHELLE DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651671",
            "telephone_number": "518-522-9186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 US-9",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-930-7486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTON",
        "first_name": "RYAN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.