Individual provider Active NPI

John Raymond Cetner, MD

  • Family Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1760475222
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
138021 Issued in NY
Practice address
35 Myrtle St
Saratoga Springs, NY 12866-1041
Phone
(518) 584-5180
Fax
(518) 584-0076
NPI assigned
Aug 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 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 138021 NY Primary

Addresses

Primary practice location

35 Myrtle St
Saratoga Springs, NY 12866-1041

Mailing address

35 Myrtle St
Saratoga Springs, NY 12866-1041
Phone (518) 584-5180

Other identifiers 1

IdentifierTypeStateIssuer
00635456MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408001366 NY Order and Referring Only - Family PracticePractitioner - Family Practice 4385942283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
138021NYMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760475222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MYRTLE ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661041",
            "telephone_number": "518-584-5180",
            "fax_number": "518-584-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MYRTLE ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661041",
            "telephone_number": "518-584-5180",
            "fax_number": "518-584-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CETNER",
        "first_name": "JOHN",
        "middle_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "138021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00635456",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.