Individual provider Active NPI

Abigail Dionne, PA

  • Physician Assistant
  • Johnstown, NY
National Provider Identifier
1992114243
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
018005 Issued in NY
Practice address
23 S Perry St
Johnstown, NY 12095-2316
Phone
(518) 736-1500
Fax
(518) 762-8194
NPI assigned
Aug 11, 2014
Last updated
Jun 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 018005 NY Primary

Addresses

Primary practice location

23 S Perry St
Johnstown, NY 12095-2316

Mailing address

PO Box 1250
99 East State Street
Gloversville, NY 12078-0010
Phone (518) 773-5758

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141112001226 NY Practitioner - Physician Assistant 3971725615 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

380 Guy Park Ave
Amsterdam, NY 12010-1065
Phone (518) 770-7830

84 E State St
Gloversville, NY 12078-1202
Phone (518) 773-7710

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
018005NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Healthcare CurrentSince Dec 31, 2018 Accepting new patients
St. Mary's Healthcare CurrentSince Dec 31, 2018 Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients

Locations

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

380 Guy Park Ave
Ste 2
Amsterdam, NY 12010
Phone (518) 770-7581

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100

48 Erie Blvd
Canajoharie, NY 13317
Phone (518) 673-2573

84 E State St
Gloversville, NY 12078
Phone (518) 332-4336

700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1992114243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1250",
            "address_2": "99 EAST STATE STREET",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120780010",
            "telephone_number": "518-773-5758",
            "fax_number": "518-773-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 S PERRY ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120952316",
            "telephone_number": "518-736-1500",
            "fax_number": "518-762-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONNE",
        "first_name": "ABIGAIL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-11",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "018005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

Verify at the official NPI Registry.