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

Peter J Colligan, PA

Individual provider Surgical Physician Assistant · NPI 1235799768

Peter J Colligan, PA is a Physician Assistant in Syracuse, New York. Qualified in 2018, 8 years ago. Practices with St Josephs Medical PC, a 385-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
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

301 Prospect Ave
Syracuse, NY 13203-1807
Phone: (315) 771-2159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 N Lowell Ave, Syracuse, NY 13204-2013 — (315) 771-2159

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 023111 (NY)

Record details

NPI number1235799768
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 17, 2019
Last updated in NPPESJune 17, 2019
Mailing address301 Prospect Ave, Syracuse, NY 13203-1807

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice St Josephs Medical Pc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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