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Deactivated NPI 1205847902 Deactivated / Inactive NPI Male Practitioner

Robert Gordon Douglas Ley , PA

Physician Assistant • Pine Bush, 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, Robert Gordon Ley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 10, 2006
NPI Deactivation Date October 22, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Robert Gordon Ley, PA was a registered Physician Assistant practicing in Pine Bush, NY. Throughout an active medical career spanning 12 years, Robert Gordon Ley provided care at the practice location at 99 CAMERON ST until profile deactivation on 2018-10-22.

Practice Location & Contact Primary Location

Practice Address

99 Cameron St

Pine Bush, NY 125667113

Telephone 8453437614
Fax 8453435390
Associated Practice Facility / Clinic
🏢 Cornerstone Family Healthcare Facility NPI 1215550009

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pine Bush, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Pine Bush, NY (15701 Statewide)

Telehealth Adoption Rate
0.0% 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 007354

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

21 Associated Practitioners
Patricia Mathisen

Dental Hygienist

NPI 1104021260
Dr. Sadia Khandaker , MD

Obstetrics & Gynecology

NPI 1124447230

Doctor of Medicine (M.D.)

Nancy Vendura , PNP

Nurse Practitioner - Pediatrics

NPI 1184716987

Pediatric Nurse Practitioner

Maureen Brett Mohyla , NP CNM

Obstetrics & Gynecology

NPI 1184784316

NPCNM

Dr. Paulo Ampil , MD

Internal Medicine

NPI 1215091889

Doctor of Medicine (M.D.)

Joan Osczepinski , FNP

Nurse Practitioner - Family

NPI 1215362363

Family Nurse Practitioner

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 October 22, 2018

Record deactivated on October 22, 2018

NPI Profile Active May 02, 2016

NPI status registered as active in NPPES database

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Updated Practice Location May 02, 2016

Registered at 99 CAMERON ST, PINE BUSH, NY 125667113 (Tel: 8453437614)

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Updated Business Mailing Address May 02, 2016

Registered at 21 ORCHARD ST, MIDDLETOWN, NY 109405004 (Tel: 8453437614)

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Provider Name / Credentials Updated May 02, 2016

Recorded as ROBERT GORDON LEY, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2016

Physician Assistant (License #007354 in NY)

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Initial NPI Registration & Enumeration August 10, 2006

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: 1205847902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2006
Last Update: May 02, 2016
Deactivation Date: October 22, 2018

Mailing Address

21 Orchard St

Middletown, NY 109405004

Phone: 8453437614

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.