Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aiden Vanwagenen

Individual provider Physician Assistant · NPI 1235920323

Aiden Vanwagenen is a Physician Assistant in Glens Falls, New York. Qualified in 2025, 1 year ago. Practices with Glens Falls Hospital Inc, a 173-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

102 Park Street Cr Wood Cancer Ctr
Glens Falls, NY 12801-4403
Phone: (518) 926-6620
Fax: (518) 926-6626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 033944 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235920323
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 16, 2025
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address100 Park Street, Glens Falls Hospital - Credentialing, Glens Falls, NY 12801-4413

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Glens Falls Hospital Inc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Glens Falls