Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jerry L Gardner, RPA-C

Individual provider Physician Assistant · NPI 1780611822

Mr. Jerry L Gardner, RPA-C is a Physician Assistant in Niskayuna, New York. Qualified in 2001, 25 years ago. Practices with St Peters Hospital of the City of Albany, a 268-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

2125 River Rd Ste 100
Niskayuna, NY 12309-1135
Phone: (518) 836-3030
Fax: (518) 836-3020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 315 S Manning Blvd, Albany, NY 12208-1707 — (518) 525-1550

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009170 (NY)

Record details

NPI number1780611822
Entity typeIndividual (Type 1)
GenderMale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice St Peters Hospital Of The City Of Albany — 268 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at St Peters Hospital of the City of Albany

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 268 clinicians in the practice; 12 are shown here.

Other providers in Niskayuna