Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750968525 Individual Practitioner Male Practitioner

John Paul Roberts

Physician Assistant • Fort Drum, NY

Professional Overview & Biography Verified Profile Summary

John Roberts is a registered healthcare professional specializing in Physician Assistant in Fort Drum, NY. Practice services are available at 11050 MOUNT BELVEDERE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11050 Mount Belvedere Blvd

Fort Drum, NY 136025438

Telephone 3157722151
Associated Practice Facility / Clinic
🏢 Us Army Facility NPI 1992786859

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Drum, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.2 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
58 Specialists

Practicing in Fort Drum, NY (15701 Statewide)

Telehealth Adoption Rate
3.4% 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

CMS Verified: 2025-03-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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

4 Associated Practitioners
Dr. Joseph Johnson , DPT

Clinic/Center - Physical Therapy

NPI 1184426009

Doctor of Physical Therapy

NPI 1548152523

Physician Assistant (Certified)

Andrew Cianciolo

Physical Therapist

NPI 1780573600
NPI 1801358817

Licensed Clinical Social Worker, Certified Alcohol and Drug Counselor

Career & Practice History Timeline

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

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2022

Physician Assistant

📍
Updated Practice Location March 11, 2022

Registered at 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 136025438 (Tel: 3157722151)

📍
Updated Business Mailing Address March 11, 2022

Registered at 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 136025438 (Tel: 5038079057)

NPI Profile Active March 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 26, 2021

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318 (Tel: 2707988400)

📍
Updated Business Mailing Address March 26, 2021

Registered at 1710 ST IVES WAY, CLARKSVILLE, TN 370421543 (Tel: 5038079057)

👤
Provider Name / Credentials Updated March 26, 2021

Recorded as JOHN ROBERTS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 26, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 26, 2021

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: 1750968525
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2021
Last Update: March 05, 2025
Sole Proprietor: No

Mailing Address

11050 Mount Belvedere Blvd

Fort Drum, NY 136025438

Phone: 5038079057

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.