Active NPI
Brian Marc Resnik, PA
- Physician Assistant
- Cambridge, NY
National Provider Identifier
1700877149
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 18, 2008.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005152
- Practice address
- 35 Gilbert St
Cambridge, NY 12816 - Phone
- (518) 677-3961
- Fax
- (518) 677-3180
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- 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 | 005152 | NY | Primary |
Addresses
Primary practice location
35 Gilbert St
Cambridge, NY 12816
Mailing address
PO Box 304
Glens Falls, NY 12801
Phone (518) 926-6992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02347895 | Medicaid | NY |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1700877149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 304",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "12801",
"telephone_number": "518-926-6992",
"fax_number": "518-926-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 GILBERT ST",
"city": "CAMBRIDGE",
"state": "NY",
"postal_code": "12816",
"telephone_number": "518-677-3961",
"fax_number": "518-677-3180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESNIK",
"first_name": "BRIAN",
"middle_name": "MARC",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005152",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02347895",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.