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

Mr. Connor Wasilnak, PA

Individual provider Physician Assistant · NPI 1154919280

Mr. Connor Wasilnak, PA is a Physician Assistant in Johnson City, New York. Graduated from Nova Southeastern College of Osteo Medicine in 2022, 4 years ago. Practices with Abington Memorial Hospital, a 435-clinician group and accepts Medicare assignment.

Years since qualifying
4
Trained at
Nova Southeastern College of Osteo Medicine
In the registry since
2021
Specialties on file
2
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

30 Harrison St Ste 250
Johnson City, NY 13790-2176
Phone: (607) 763-6580
Fax: (607) 763-6782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154919280
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 5, 2021
Last updated in NPPESSeptember 21, 2022
Certification dateSeptember 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2022 (4 years in practice)
Group practice Abington Memorial Hospital — 435 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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