Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin Vanderpool, PA-C

Individual provider Physician Assistant · NPI 1073485447

Benjamin Vanderpool, PA-C is a Physician Assistant in Utica, New York. Qualified in 2025, 1 year ago. Practices with Emergency Physician Services of New York, PC, a 130-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

111 Hospital Dr
Utica, NY 13502-2517
Phone: (315) 917-9966
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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 035007 (NY)

Record details

NPI number1073485447
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 23, 2025
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025
Mailing address871 Mapledale Rd, Cassville, NY 13318-1409

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 Emergency Physician Services Of New York, P.C. — 130 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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