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

Roderick Macintosh Jr., PA

Individual provider Surgical Physician Assistant · NPI 1053339176

Roderick Macintosh Jr., PA is a Surgical Physician Assistant in Schenectady, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
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

1101 Nott St
Schenectady, NY 12308-2425
Phone: (518) 243-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 002263 (NY)

Record details

NPI number1053339176
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESJuly 8, 2007

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