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

Michael Booth, PA-C

Individual provider Physician Assistant · NPI 1205635026

Michael Booth, PA-C is a Physician Assistant in New York, New York. Licensed in New York. Registered with an NPI since 2025.

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.

See every abbreviation used in this directory →

Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (312) 503-1851
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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 035910 (NY)

Record details

NPI number1205635026
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 12, 2025
Last updated in NPPESJune 14, 2026
Certification dateJune 14, 2026

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