ZACHARY VAN GORDER PA
NPI 1033876354
Physician Assistant - Medical in Parish, NY

Active since November 22, 2021PECOS EnrolledAccepts Medicare Assignment
10 CARLTON DR, PARISH, NY 13131(315) 625-4388 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Zachary Van Gorder Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY VAN GORDER PA (NPI 1033876354) is an individual medical provider in Parish, New York, licensed in New York (027726) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1033876354
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameZACHARY VAN GORDERCredential: PA
Location Address10 CARLTON DRParish, NY 13131-3308
Mailing Address61 Delano StPulaski, NY 13142-1400 · (315) 298-6569
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 22, 2021
NPPES CertifiedNovember 22, 2021
NPI 1033876354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 027726
10 CARLTON DR, Parish, NY 13131

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Zachary Van Gorder Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850781527
PECOS Enrollment IDI20211213000650
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
10 CARLTON DR
PARISH, NY 13131
Clinic/Center (Community Health)
10 CARLTON DR
PARISH, NY 13131
Nurse Practitioner (Family)
10 CARLTON DR
PARISH, NY 13131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Van Gorder's NPI number?

The NPI number for Zachary Van Gorder is 1033876354. It was assigned to this individual provider in the NPPES registry on November 22, 2021.

Where is Zachary Van Gorder located?

Zachary Van Gorder practices at 10 Carlton Dr, Parish, NY 13131. The listed phone number is (315) 625-4388.

What is Zachary Van Gorder's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Zachary Van Gorder enrolled in Medicare?

Yes. Zachary Van Gorder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Zachary Van Gorder affiliated with any hospitals?

According to CMS data, Zachary Van Gorder is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Zachary Van Gorder was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.