MATTHEW JASON KRESGE PA NPI 1740208818

NPI Information

NPI: 1740208818
Provider Name: MATTHEW JASON KRESGE, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1101 NOTT ST
SCHENECTADY, NY
ZIP 12308
Phone: (518) 243-4000
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Matthew Jason Kresge, PA is a surgical physician assistant in Schenectady, NY with 33 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
1	363AS0400X	Physician Assistant	Surgical	009490	NEW YORK	Yes

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
1	S47211	MEDICARE UPIN	NEW YORK
2	000404653001	OTHER	NEW YORK	BLUE SHIELD
3	DD7006	MEDICARE PIN	NEW YORK
4	040426007415	OTHER	NEW YORK	FIDELIS 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: 4/28/2024

NPI Synchronization or Removal

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