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

Kaitlyn J Buck, PA

Individual provider Medical Physician Assistant · NPI 1073897914

Kaitlyn J Buck, PA is a Physician Assistant in Goshen, New York. Graduated from Mercy College in 2011, 15 years ago. Practices with Lawrence Gordon MD PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
Mercy College
Licensed in
NY
In the registry since
2011
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

2004 Route 17M
Goshen, NY 10924-5210
Phone: (845) 294-0661
Fax: (845) 818-9646
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 015142-1 (NY)

Record details

NPI number1073897914
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 10, 2011
Last updated in NPPESNovember 8, 2021
Certification dateNovember 8, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCY COLLEGE
Graduated 2011 (15 years in practice)
Group practice Lawrence Gordon Md Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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