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

Ted Vanluvender, PA

Individual provider Physician Assistant · NPI 1801587415

Ted Vanluvender, PA is a Physician Assistant in Vestal, New York. Qualified in 2023, 3 years ago. Practices with Our Lady of Lourdes Memorial Hospital Inc, a 249-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3101 Shippers Rd Ste 202
Vestal, NY 13850-2082
Phone: (607) 754-5342
Fax: (607) 754-5508
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1801587415
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 16, 2023
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023
Mailing address169 Riverside Dr, Binghamton, NY 13905-4198

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Our Lady Of Lourdes Memorial Hospital Inc — 249 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Vestal