Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1669591087 Deactivated / Inactive NPI Male Practitioner

Daniel J Jenack , RPA

Physician Assistant • Canton, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Daniel Jenack has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2007
NPI Deactivation Date August 23, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Daniel Jenack, RPA was a registered Physician Assistant practicing in Canton, NY. Throughout an active medical career spanning 16 years, Daniel Jenack provided care at the practice location at 80 STATE HIGHWAY 310 until profile deactivation on 2023-08-23.

Practice Location & Contact Primary Location

Practice Address

80 State Highway 310
Suite 1

Canton, NY 136171493

Telephone 3153862167
Fax 3153862435
Associated Practice Facility / Clinic
🏢 St Lawrence County Facility NPI 1104985167

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Canton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
14 Specialists

Practicing in Canton, NY (15701 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 817

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dawn Colbert , LMSW

Social Worker

NPI 1013447275

Licensed Master Social Worker

Dr. Patricia Pielnik , MD

Psychiatry & Neurology - Psychiatry

NPI 1043304645

Doctor of Medicine (M.D.)

Mavis Bush

Counselor - Addiction (Substance Use Disorder)

NPI 1043400658
NPI 1053430488

RPAC

Deborah White

Registered Nurse

NPI 1063149797
Meghan Vollmer , MHC-P

Counselor - Mental Health

NPI 1063246312

MHCP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 23, 2023

Record deactivated on August 23, 2023

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 136171493 (Tel: 3153862167)

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Updated Business Mailing Address July 09, 2007

Registered at 80 STATE HIGHWAY 310, SUITE 1, CANTON, NY 136171493 (Tel: 3153862167)

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Provider Name / Credentials Updated July 09, 2007

Recorded as DANIEL JENACK, RPA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Physician Assistant (License #817 in NY)

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Initial NPI Registration & Enumeration March 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669591087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: July 09, 2007
Deactivation Date: August 23, 2023

Mailing Address

80 State Highway 310, Suite 1

Canton, NY 136171493

Phone: 3153862167

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.