WILLIAM NYARKO DADE
NPI 1912593104
Physician Assistant - Medical in Liverpool, NY

Q: What is William Dade's NPI number?

The NPI number for William Dade is 1912593104. It was assigned to this individual provider in the NPPES registry on December 12, 2020.

Q: What is William Dade'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 William Dade was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 12, 2020PECOS Enrolled

17 GLENCOVE CT, LIVERPOOL, NY 13090(336) 456-7552 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2022, May 3, 2022, Dec 12, 2020 (3 updates tracked since 2020).

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About William Nyarko Dade NPPES

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

WILLIAM NYARKO DADE (NPI 1912593104) is an individual medical provider in Liverpool, New York, licensed in New York (028121) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912593104

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameWILLIAM NYARKO DADE

Location Address17 GLENCOVE CTLiverpool, NY 13090-3915

Mailing Address17 Glencove CtLiverpool, NY 13090-3915 · (336) 456-7552

Phone(336) 456-7552

Sole ProprietorYes

Enumeration DateDecember 12, 2020

Last NPPES UpdateSeptember 12, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 12, 2022

✔ NPI 1912593104 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 · 028121

Also ListedPhysician AssistantTaxonomy 363A00000X

17 GLENCOVE CT, Liverpool, NY 13090

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Nyarko Dade 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.

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 William Dade's NPI number?

The NPI number for William Dade is 1912593104. It was assigned to this individual provider in the NPPES registry on December 12, 2020.

Where is William Dade located?

William Dade practices at 17 Glencove Ct, Liverpool, NY 13090. The listed phone number is (336) 456-7552.

What is William Dade's specialty?

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

Is William Dade enrolled in Medicare?

Yes. William Dade is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Dade was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.