MATTHEW JASON KRESGE PA NPI 1740208818

NPI Information

  • NPI: 1740208818
  • Provider Name: MATTHEW JASON KRESGE, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1101 NOTT ST
    SCHENECTADY, NY
    ZIP 12308
  • Phone: (518) 243-4000

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NPI Details

Matthew Jason Kresge, PA is a surgical physician assistant in Schenectady, NY with 35 years of experience. Matthew Jason Kresge, PA NPI is 1740208818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:1991

The provider's business location address is:

1101 NOTT ST
SCHENECTADY, NY
ZIP 12308-425
Phone: (518) 243-4000

The NPI 1740208818 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 7/17/2006 and was last updated on 7/13/2007.

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
1363AS0400XPhysician AssistantSurgical009490NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S47211MEDICARE UPINNEW YORK
2000404653001OTHERNEW YORKBLUE SHIELD
3DD7006MEDICARE PINNEW YORK
4040426007415OTHERNEW YORKFIDELIS CARE

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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