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JACK E. REDDING II PA-C
NPI 1295843852
Physician Assistant - Medical in West Coxsackie, NY

Active since August 25, 2006
11835 RT 9W, WEST COXSACKIE, NY 12192(518) 731-9000(518) 731-9119 Get Directions Write a Review

NPPES record last updated: March 27, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack E. Redding Ii Pa-c NPPES

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

JACK E. REDDING II PA-C (NPI 1295843852) is an individual medical provider in West Coxsackie, New York, licensed in Florida (PA9100926) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1295843852
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJACK E. REDDING IICredential: PA-C
Location Address11835 RT 9WWest Coxsackie, NY 12192-3605
Mailing Address60 Martins Hill RdRavena, NY 12143-2809 · (518) 694-2965
Phone(518) 731-9000
Fax(518) 731-9119
Sole ProprietorYes
Enumeration DateAugust 25, 2006
Last NPPES UpdateMarch 27, 2015
✔ NPI 1295843852 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 FL · PA9100926
11835 RT 9W, West Coxsackie, NY 12192
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Other Identifiers 2

Medicare ID-Type UnspecifiedE3271ZFL
Medicare UPINS92696FL

Other Providers at the Same Location NPPES 19

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

CHRISTOPHER PAUL BARELA RPA-C
Physician Assistant (Medical)
11835 RT 9W
WEST COXSACKIE, NY 12192
Greene County (518) 731-9000
MR. DANIEL R WIEST RPAC
Emergency Medicine
11835 RT 9W
WEST COXSACKIE, NY 12192
Greene County (518) 731-9000
EMILY MARIE COLUCCIO PA-C
Physician Assistant
11835 RT 9W
WEST COXSACKIE, NY 12192
Greene County (518) 264-9000
ALBANY MEDICAL COLLEGE
Clinic/Center (Urgent Care)
11835 RT 9W
WEST COXSACKIE, NY 12192
Greene County (518) 731-9000
KORTNEY ROSE GUGUMUCK PA-C
Physician Assistant
11835 RT 9W
WEST COXSACKIE, NY 12192
Greene County (518) 264-9000
KONNOR V WILLIAMS PA-C
Physician Assistant
11835 RT 9W
WEST COXSACKIE, NY 12192
Greene County (518) 264-9000
ALBANY MEDICAL COLLEGE
Clinic/Center (Urgent Care)
11835 RT 9W
WEST COXSACKIE, NY 12192
Greene County (518) 731-9000
MS. ALISON H SPEAR MD
Emergency Medicine
11835 RT 9W
WEST COXSACKIE, NY 12192
Greene County (518) 731-9000

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 Jack Redding's NPI number?

The NPI number for Jack Redding is 1295843852. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Jack Redding located?

Jack Redding practices at 11835 Rt 9W, West Coxsackie, NY 12192. The listed phone number is (518) 731-9000.

What is Jack Redding's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Redding was last updated on March 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.