JESSICA ROSE GABORIAULT (NPI# 1629587894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629587894 |
Entity Type | Individual |
Full Name | JESSICA ROSE GABORIAULT |
Credential | PA-C |
Practice Address |
2546 Balltown Rd Ste 300 Schenectady NY 12309-1079 |
Practice Telephone | 5183778184 |
Mailing Telephone | 5183778184 |
Enumeration Date | 2017-09-20 |
Last Update Date | 2019-09-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
021405 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2546 BALLTOWN RD STE 300 |
City | SCHENECTADY |
State | NY |
Zip Code | 12309-1079 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366515595 | Stephen M Piacentine | Internal Medicine | 2546 Balltown Rd Ste 300, Schenectady, NY 12309-1079 | 2006-11-16 |
1487272563 | Brittany Michelle Mulhall | Nurse Practitioner | 2546 Balltown Rd Ste 300, Schenectady, NY 12309-1079 | 2020-07-06 |
1619434057 | Sarah Malsch | Physician Assistant | 2546 Balltown Rd Ste 300, Schenectady, NY 12309-1079 | 2019-02-21 |
1295203180 | Liana Kate Quinn | Physician Assistant | 2546 Balltown Rd Ste 300, Schenectady, NY 12309-1079 | 2018-11-08 |
1366735441 | Parag D Parikh | Internal Medicine | 2546 Balltown Rd Ste 300, Schenectady, NY 12309-1079 | 2011-05-23 |
1225321300 | Leslie Parikh | Internal Medicine | 2546 Balltown Rd Ste 300, Schenectady, NY 12309-1079 | 2011-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
1902396351 | Erica S Hill | Occupational Therapist | 2246 Van Rensselaer Dr, Niskayuna, NY 12309 | 2018-05-11 |
1588107015 | Orthopedicsny, LLP | Orthopaedic Surgery | 1760 Union St, Suite 100, Schenectady, NY 12309 | 2016-12-01 |
1932589983 | Patricia P Primomo | Dentist | 2310 Nott Street East, Niskayuna, NY 12309 | 2015-06-04 |
1386074268 | Bernard P Kinlan | Social Worker | 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 | 2013-11-14 |
1255680344 | Rudy Nydegger Phd, Abpp, Pllc | Psychologist | 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 | 2012-09-05 |
1407104094 | Rachelle Ann Kehoe | Specialist | 950 St. David's Lane, Schenectady, NY 12309 | 2012-08-29 |
1073882726 | Kristina Lynn Deangelo | Speech-Language Pathologist | 1872 Hexam Road West, Niskayuna, NY 12309 | 2011-12-27 |
1467720136 | Jjm Chiropractic, LLC | Chiropractor | 1756 Union St., Niskayuna, NY 12309 | 2011-12-08 |
1659658474 | Richard W Glover | Dentist | 2310 Nott St. East, Niskayuna, NY 12309 | 2011-11-08 |
Find all providers in zip 12309 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295203180 | Liana Kate Quinn | Physician Assistant | 2546 Balltown Rd Ste 300, Schenectady, NY 12309-1079 | 2018-11-08 |
1063995835 | Brittany Moran | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2018-09-07 |
1316425549 | Joshua Thomas Farrell | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2489 | 2018-07-31 |
1063933612 | Lu Zhang | Physician Assistant | 1667 Elizabeth St, Schenectady, NY 12303-3805 | 2017-07-05 |
1417487802 | Megan Alyssa Mooney | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2017-06-18 |
1326499781 | Neil Ekengren | Physician Assistant | 1101 Nott St, Dept. of Emergency, Schenectady, NY 12308-2425 | 2016-06-28 |
1649621509 | Amanda Burns | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2016-06-22 |
1982063434 | Alyssa Irla | Physician Assistant | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2016-02-12 |
1255703104 | Fironia Rofail | Physician Assistant | 1101 Nott St, Schenectady, NY 12308-2425 | 2015-10-30 |
1275918294 | Karen A Mulholland | Physician Assistant | 124 Rosa Rd, Suite 382, Schenectady, NY 12308 | 2015-07-21 |
Find all providers in SCHENECTADY |
City | SCHENECTADY |
Zip Code | 12309 |
Please comment or provide details below to improve the information on JESSICA ROSE GABORIAULT.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.