Individual provider Active NPI

William Peter Lynch, RPA-C

  • Physician Assistant
  • Troy, NY
National Provider Identifier
1659608966
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
000207 Issued in NY
Practice address
76 N Greenbush Rd
Troy, NY 12180-8369
Phone
(518) 286-3000
Fax
(518) 286-3008
NPI assigned
Nov 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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 000207 NY Primary

Addresses

Primary practice location

76 N Greenbush Rd
Troy, NY 12180-8369

Mailing address

76 N Greenbush Rd
Troy, NY 12180-8369
Phone (518) 286-3000

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
I20100726000084 NY Practitioner - Physician Assistant 7719019868 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Physician Assistant CurrentSince Mar 27, 2012 Accepting new patients
Samaritan Hospital of Troy, New York Physician Assistant CurrentSince Mar 27, 2012 Accepting new patients
On Call Medical Services Assoc. LLP Past Accepting new patients

Locations

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Organizations & group practices 3

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": "1257465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257465600000",
    "number": "1659608966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 N GREENBUSH RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808369",
            "telephone_number": "518-286-3000",
            "fax_number": "518-286-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 N GREENBUSH RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808369",
            "telephone_number": "518-286-3000",
            "fax_number": "518-286-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "WILLIAM",
        "middle_name": "PETER",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "000207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.