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BETHANY BROOKE PAJAK D.O.
NPI 1194011122
General Practice in Fort Drum, NY

Active since June 28, 2011
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 772-6976 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 3, 2026, May 15, 2024 (2 updates tracked since 2024).

About Bethany Brooke Pajak D.o. NPPES

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

BETHANY BROOKE PAJAK D.O. (NPI 1194011122) is an individual general practice provider in Fort Drum, New York, licensed in New York (276761) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1194011122
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameBETHANY BROOKE PAJAKCredential: D.O.
Location Address11050 MT BELVEDERE BLVDFort Drum, NY 13602-2603
Mailing Address11050 Mt Belvedere BlvdFort Drum, NY 13602-2603
Phone(315) 772-6976
Sole ProprietorNo
Enumeration DateJune 28, 2011
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1194011122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in NY · 276761✔ Licensed in GA · 070562
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11050 MT BELVEDERE BLVD, Fort Drum, NY 13602
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Other Providers at the Same Location NPPES 20

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

DR. MICHAEL HARRIS CARPENTER M.D.
Pediatrics
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-7730
DR. ELIZABETH DUQUE M.D.
Family Medicine
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (888) 838-1303
PATRICK ALLEN CLAPP PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-5516
KEVIN LEE LAROSE PHYSICIAN ASSISTANT
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DEEANN STALVEY
Psychologist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (701) 367-0584
AMBER DONN CANTEY DPT
Physical Therapist
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (210) 419-1874
JEREMIAH C CLESTER PA-C
Physician Assistant
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778
DUSTEN GREEN DSW,LCSW, CASAC
Social Worker
11050 MT BELVEDERE BLVD
FORT DRUM, NY 13602
Jefferson County (315) 772-2778

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 Bethany Pajak's NPI number?

The NPI number for Bethany Pajak is 1194011122. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Bethany Pajak located?

Bethany Pajak practices at 11050 Mt Belvedere Blvd, Fort Drum, NY 13602. The listed phone number is (315) 772-6976.

What is Bethany Pajak's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Bethany Pajak was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.