DENISE M BOLAN RPA C
NPI 1609946839
Physician Assistant - Medical in Newcomb, NY

Q: What is Denise Bolan's NPI number?

The NPI number for Denise Bolan is 1609946839. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Q: What is Denise Bolan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Denise Bolan was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 08, 2006

4 SANTANONI DR, NEWCOMB, NY 12852(518) 582-2991(518) 582-2040 Get Directions Write a Review

NPPES record last updated: October 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Denise M Bolan Rpa C NPPES

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

DENISE M BOLAN RPA C (NPI 1609946839) is an individual medical provider in Newcomb, New York, licensed in New York (002715) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1609946839

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameDENISE M BOLANCredential: RPA C

Location Address4 SANTANONI DRNewcomb, NY 12852

Mailing Address4 Santanoni DrNewcomb, NY 12852-1913 · (518) 582-2991 · Fax (518) 582-2393

Phone(518) 582-2991

Fax(518) 582-2040

Sole ProprietorNo

Enumeration DateNovember 8, 2006

Last NPPES UpdateOctober 4, 2016

✔ NPI 1609946839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 002715

Also ListedFamily MedicineTaxonomy 207Q00000X · License 0027151 (NY)

4 SANTANONI DR, Newcomb, NY 12852

Open in Google Maps ↗

Other Identifiers 3

Medicare UPINR88671NY

Medicare PINBB9575NY

Medicaid01110874NY

Other Providers at the Same Location NPPES 2

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

RUSSELL E RIDER, MD

Family Medicine

4 SANTANONI DR
NEWCOMB, NY 12852

Essex County (518) 582-2991

MEGAN AMBER ROZELL PA

Physician Assistant

4 SANTANONI DR
NEWCOMB, NY 12852

Essex County (518) 582-2991

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 Denise Bolan's NPI number?

The NPI number for Denise Bolan is 1609946839. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Denise Bolan located?

Denise Bolan practices at 4 Santanoni Dr, Newcomb, NY 12852. The listed phone number is (518) 582-2991.

What is Denise Bolan'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 Denise Bolan was last updated on October 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.