Active NPI
Deborah L Zale, PA
- Physician Assistant
- Saranac Lake, NY
National Provider Identifier
1639379183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 003575-1
- Practice address
- 2233 State Route 86
Saranac Lake, NY 12983-5644 - Phone
- (518) 897-2317
- Fax
- (518) 897-2423
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 003575-1 | NY | Primary |
Addresses
Primary practice location
2233 State Route 86
Saranac Lake, NY 12983-5644
Mailing address
2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 897-2317
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245446533 | Other | ADIRONDACK MEDICAL CENTER | |
| 00363213 | Medicaid | NY | |
| 003575-1 | Other | NY | LICENSE NUMBER |
| 1699709576 | Other | ADIRONDACK MEDICAL CENTER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003575-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Plastic Surgeons, P.C. | Past | Accepting new patients |
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.
-
- Specialist
- Poughkeepsie, NY
- NPI 1316931371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639379183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2233 STATE ROUTE 86",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129835644",
"telephone_number": "518-897-2317",
"fax_number": "518-897-2423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2233 STATE ROUTE 86",
"city": "SARANAC LAKE",
"state": "NY",
"postal_code": "129835644",
"telephone_number": "518-897-2317",
"fax_number": "518-897-2423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZALE",
"first_name": "DEBORAH",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "003575-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADIRONDACK MEDICAL CENTER",
"identifier": "1245446533",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00363213",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "003575-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADIRONDACK MEDICAL CENTER",
"identifier": "1699709576",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Saranac Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.