Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Adam Jason Wiesenthal, PA-C

Individual provider Physician Assistant · NPI 1972796696

Mr. Adam Jason Wiesenthal, PA-C is a Physician Assistant in Middletown, New York. Qualified in 2007, 19 years ago. Practices with Garnet Health Doctors PC, a 166-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut and New York.

Years since qualifying
19
Licensed in
CT, NY
In the registry since
2007
Specialties on file
3
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) 333-3641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 Reade Pl, Poughkeepsie, NY 12601-3947 — (845) 483-6217

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 012686-1 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 012686 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 002057 (CT)

Record details

NPI number1972796696
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2007
Last updated in NPPESJune 6, 2022
Certification dateJune 6, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Garnet Health Doctors Pc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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