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

Jordan Haskins, PA

Individual provider Physician Assistant · NPI 1114300902

Jordan Haskins, PA is a Physician Assistant in Poughkeepsie, New York. Qualified in 2015, 11 years ago. Practices with Glens Falls Hospital Inc, a 173-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1910 S Rd
Poughkeepsie, NY 12601-6027
Phone: (845) 454-0120
Fax: (845) 790-2131
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 018693 (NY)

Record details

NPI number1114300902
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 30, 2015
Last updated in NPPESOctober 9, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 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

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