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

Individual provider Surgical Physician Assistant · NPI 1659920767

Justin Michael Fallacaro, PA-C is a Physician Assistant in Middletown, New York. Qualified in 2020, 6 years ago. Practices with Garnet Health Doctors PC, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2019
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

707 E Main St
Middletown, NY 10940-2650
Phone: (845) 333-7575
Fax: (845) 333-7201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 68 Harris Bushville Rd, Harris, NY 12742 — (845) 333-8909

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 024728 (NY)

Record details

NPI number1659920767
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 11, 2019
Last updated in NPPESOctober 16, 2024
Certification dateOctober 11, 2024
Mailing address707 E Main St, Middletown, NY 10940-2650

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Garnet Health Doctors Pc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Middletown