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

Mr. Jonathan Raymond Duperre, PA-C

Individual provider Physician Assistant · NPI 1720461791

Mr. Jonathan Raymond Duperre, PA-C is a Physician Assistant in Albany, New York. Licensed in New York. Registered with an NPI since 2015.

Licensed in
NY
In the registry since
2015
Specialties on file
2
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

315 S Manning Blvd
Albany, NY 12208-1707
Phone: (518) 525-1550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 018746 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 018746 (NY)

Record details

NPI number1720461791
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2015
Last updated in NPPESAugust 13, 2015

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