NPIMap

Individual provider Active NPI

John T Quaresima, MD

  • Family Medicine Physician
  • Gansevoort, NY
National Provider Identifier
1750720371
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
284335 Issued in NY
Practice address
1299 Route 9
Gansevoort, NY 12831-1560
Phone
(518) 761-6961
Fax
(518) 761-1006
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 284335 NY Primary

Addresses

Primary practice location

1299 Route 9
Gansevoort, NY 12831-1560

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other identifiers 1

IdentifierTypeStateIssuer
04538487MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.quaresima.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160914000545 NY Practitioner - Family Practice 8022247071 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

161 Carey Rd
Queensbury, NY 12804-7821
Phone (518) 824-8610

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Ballston Lake, NY, CCN 337401
  • Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • High Peaks Hospice and Palliative Care, Inc Hospice, Hudson Falls, NY, CCN 331531
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Fort Hudson Nursing Center Inc Nursing home, Fort Edward, NY, CCN 335300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
284335NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Family Medicine CurrentSince Aug 29, 2016 Accepting new patients
Hudson Headwaters Health Network Family Medicine CurrentSince Aug 29, 2016 Accepting new patients
Glens Falls Hospital Inc. Family Medicine CurrentSince Apr 10, 2020 Accepting new patients
Glens Falls Hospital Inc CurrentSince Apr 10, 2020 Accepting new patients
Fort Hudson Nursing Center, Inc. Past Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients

Locations

1299 Route 9
Gansevoort, NY 12831
Phone (518) 761-6961

79 North St
Granville, NY 12832
Phone (518) 642-0612

161 Carey Rd
Queensbury, NY 12804
Phone (518) 480-0011

9 Carey Rd
Queensbury, NY 12804

Interoperability endpoints

  • Direct secure messaging: john.quaresima.1@1823.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1750720371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 ROUTE 9",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128311560",
            "telephone_number": "518-761-6961",
            "fax_number": "518-761-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARESIMA",
        "first_name": "JOHN",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "284335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04538487",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.quaresima.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1299 Route 9",
            "city": "Gansevoort",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128311560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gansevoort, NY

Sources for this page

Verify at the official NPI Registry.