PATRICK JAMES FITZPATRICK NPI 1164207403

NPI Information

  • NPI: 1164207403
  • Provider Name: PATRICK JAMES FITZPATRICK
  • Classification: Nurse Practitioner - 363LC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2 TITUS PL
    WALTON, NY
    ZIP 13856
  • Phone: (607) 865-2400

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NPI Details

Patrick James Fitzpatrick is a community health nurse practitioner in Walton, NY. Patrick James Fitzpatrick NPI is 1164207403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2 TITUS PL
WALTON, NY
ZIP 13856-455
Phone: (607) 865-2400

The NPI 1164207403 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2023 and was last updated on 10/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LC1500XNurse PractitionerCommunity HealthF320110-01NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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