Active NPI
John Bates, PA-C
- Physician Assistant
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 027765
- Practice address
- 75 Beekman St
Plattsburgh, NY 12901-1438 - Phone
- (518) 562-7371
- NPI assigned
- Jun 17, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 055.0031591 | VT | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 027765 | NY | Primary |
Addresses
Primary practice location
75 Beekman St
Plattsburgh, NY 12901-1438
Mailing address
Albert Einstein Medical Center
5501 Old York Road
Philadelphia, PA 19141
Other practice location 1
130 Fisher Rd
Berlin, VT 05602-9516
Phone (802) 371-4264
Other practice location 2
Albert Einstein Medical Center
5501 Old York Road
Philadelphia, PA 19141
Phone (215) 456-3834
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027765 | NY | MD | Speech-Language Pathologist |
| 055.0031591 | VT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champlain Valley Physicians Hospital Medical Center | Physician Assistant | Current | Accepting new patients |
| Northwestern Medical Center, Inc | Current | Accepting new patients | |
| Northwestern Medical Center Inc | Current | Accepting new patients | |
| Northwestern Medical Center, Inc. | Current | Accepting new patients | |
| Central Vermont Medical Center Inc | Current | Accepting new patients | |
| Fornance Physician Services, Inc. | Past | Accepting new patients |
Locations
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
130 Fisher Rd
Berlin, VT 05602
Phone (802) 225-5820
130 Fisher Rd
#C
Berlin, VT 05602
Phone (802) 225-5400
3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554
133 Fairfield St
Saint Albans, VT 05478
Phone (802) 524-1227
Interoperability endpoints
- jbates469194@direct.uvmhealth.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Physician Assistant
-
- Family Medicine Physician
- Berlin, VT
- NPI 1023028784
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1720112659
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538293469
-
- General Acute Care Hospital
- Saint Albans, VT
- NPI 1538442199
-
- Pediatrics Physician
- Saint Albans, VT
- NPI 1003574740
-
- Family Medicine Physician
- Norristown, PA
- NPI 1013997386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1922624766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ALBERT EINSTEIN MEDICAL CENTER",
"address_2": "5501 OLD YORK ROAD",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 BEEKMAN ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129011438",
"telephone_number": "518-562-7371"
}
],
"practiceLocations": [
{
"address_1": "130 Fisher Rd",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "VT",
"postal_code": "056029516",
"country_code": "US",
"telephone_number": "802-371-4264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Albert Einstein Medical Center",
"address_2": "5501 Old York Road",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "19141",
"country_code": "US",
"telephone_number": "215-456-3834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BATES",
"first_name": "JOHN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-17",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VT",
"license": "055.0031591",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "027765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.