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MR. ADAM JASON WIESENTHAL PA-C
NPI 1972796696
Physician Assistant - Surgical in Middletown, NY

Active since August 27, 2007PECOS EnrolledAccepts Medicare Assignment
81.4/100
CMS Quality Rating
707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-7575(845) 333-3641 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 6, 2022, Dec 27, 2016 (2 updates tracked since 2016).

About Mr. Adam Jason Wiesenthal Pa-c NPPES

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

MR. ADAM JASON WIESENTHAL PA-C (NPI 1972796696) is an individual surgical provider in Middletown, New York, licensed in New York (012686-1) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and maintains a secondary practice location in Poughkeepsie.

NPPES Registry Identity

NPI1972796696
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. ADAM JASON WIESENTHALCredential: PA-C
Location Address707 E MAIN STMiddletown, NY 10940-2650
Mailing Address707 E Main StMiddletown, NY 10940-2650 · (845) 333-7575 · Fax (845) 333-3641
Phone(845) 333-7575
Fax(845) 333-3641
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 27, 2007
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1972796696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in NY · 012686-1✔ Licensed in CT · 002057
Also ListedPhysician AssistantTaxonomy 363A00000X · License 012686 (NY)
707 E MAIN ST, Middletown, NY 10940
Open in Google Maps ↗

Secondary Practice Location 1

Location 145 Reade PlPoughkeepsie, NY 12601-3947 · Phone (845) 483-6217

Other Identifiers 1

Medicaid03315184NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Adam Jason Wiesenthal Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002987179
PECOS Enrollment IDI20090304000018
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.67
Promoting Interoperability100
Improvement Activities40
Cost55.11

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.

KRASSIMIR ATANASSOV MD
Surgery (Surgical Critical Care)
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-7575
DR. AAMIR MASOOD GILANI M.D
Internal Medicine (Pulmonary Disease)
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-7575
HAALA BABAR DO
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-7373
DR. ERINI ANDREAS CHRISTODOULOU MD
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-7373
TETYANA KOCHETKOVA
Dietitian, Registered
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-1000
MR. BRIGHT BOAFO NKRUMAH PA
Physician Assistant (Medical)
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-1114
FRANK CHIDI OGBONNA MD/DO
Radiology (Radiation Oncology)
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-1000
DUSTIN BATTAD MD
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Orange County (845) 333-7373

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 Adam Wiesenthal's NPI number?

The NPI number for Adam Wiesenthal is 1972796696. It was assigned to this individual provider in the NPPES registry on August 27, 2007.

Where is Adam Wiesenthal located?

Adam Wiesenthal practices at 707 E Main St, Middletown, NY 10940. The listed phone number is (845) 333-7575.

What is Adam Wiesenthal's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Adam Wiesenthal enrolled in Medicare?

Yes. Adam Wiesenthal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Adam Wiesenthal affiliated with any hospitals?

According to CMS data, Adam Wiesenthal is affiliated with Garnet Health Medical Center.

When was this NPI record last updated?

The NPPES record for Adam Wiesenthal was last updated on June 6, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.