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

Individual provider Physician Assistant · NPI 1689056939

Justin G Pedersen, PA-C is a Physician Assistant in Cooperstown, New York. Graduated from Albany Medical College of Union University in 2015, 11 years ago. Practices with Mary Imogene Bassett Hospital, a 779-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
11
Trained at
Albany Medical College of Union University
Licensed in
NY
In the registry since
2015
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

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone: (607) 547-3652
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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 018681 (NY)

Record details

NPI number1689056939
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2015
Last updated in NPPESAugust 4, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2015 (11 years in practice)
Group practice Mary Imogene Bassett Hospital — 779 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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