Active NPI
John A Esper, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Queensbury, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 154542
- Practice address
- 67 Peachtree LN
Queensbury, NY 12804-8517 - Phone
- (518) 793-2120
- NPI assigned
- Nov 16, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 154542 | NY | Primary |
Addresses
Primary practice location
67 Peachtree LN
Queensbury, NY 12804-8517
Mailing address
67 Peachtree LN
Queensbury, NY 12804-8517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70021A | Other | MEDICARE PART B |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040609001049 | NY | Practitioner - Emergency Medicine | 1557344777 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- State University of Ny Upstate Medical University, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adirondack Medical Center
Practice addresses (Care Compare)
2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141
Hospital & facility affiliations
- Adirondack Medical Center - Saranac Lake
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154542 | NY | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adirondack Medical Center | Current | Accepting new patients | |
| Gloversville Emergency Medicine Services PC | Current | Accepting new patients | |
| Adirondack Medical Center | Current | Accepting new patients | |
| Adirondack Medical Center | Current | Accepting new patients |
Locations
99 E State St
Gloversville, NY 12078
Phone (518) 773-5690
29 Church St
Lake Placid, NY 12946
Phone (518) 523-1122
2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141
7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Gloversville, NY
- NPI 1518205491
NY
-
- Surgery Physician
- Saranac Lake, NY
- NPI 1871359000
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463702400000",
"number": "1932272044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 PEACHTREE LN",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128048517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 PEACHTREE LN",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128048517",
"telephone_number": "518-793-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESPER",
"first_name": "JOHN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2016-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NY",
"license": "154542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PART B",
"identifier": "70021A",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.