DYLAN L JUDA PA
NPI 1407452709
Physician Assistant in North Syracuse, NY

Active since December 10, 2020PECOS Enrolled
6846 BUCKLEY RD STE 1, NORTH SYRACUSE, NY 13212(315) 410-6400(315) 410-6410 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dylan L Juda Pa NPPES

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

DYLAN L JUDA PA (NPI 1407452709) is an individual physician assistant in North Syracuse, New York, licensed in New York (026046) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407452709
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameDYLAN L JUDACredential: PA
Location Address6846 BUCKLEY RD STE 1North Syracuse, NY 13212-4270
Mailing Address6846 Buckley Rd Ste 1North Syracuse, NY 13212-4270 · (315) 410-6400
Fax(315) 410-6410
Sole ProprietorNo
Enumeration DateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
✔ NPI 1407452709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 026046
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6846 BUCKLEY RD STE 1, North Syracuse, NY 13212

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dylan L Juda Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Dietitian, Registered
6846 BUCKLEY RD STE 1
NORTH SYRACUSE, NY 13212

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 Dylan Juda's NPI number?

The NPI number for Dylan Juda is 1407452709. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Dylan Juda located?

Dylan Juda practices at 6846 Buckley Rd Ste 1, North Syracuse, NY 13212. The listed phone number is (315) 410-6400.

What is Dylan Juda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Dylan Juda enrolled in Medicare?

Yes. Dylan Juda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dylan Juda was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.