Jerry Gardner, RPA-C
NPI 1780611822 · Physician Assistant · Niskayuna, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry Gardner, RPA-C is a Physician Assistant provider in Niskayuna, NY (NPI 1780611822).
Provider details
- NPI number
- 1780611822
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RPA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 009170 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 315 S Manning BlvdAlbany, NY 12208-1707Phone: (518) 525-1550Fax: (518) 525-6815
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2021-05-19
- Certified
- 2021-05-19
Frequently asked questions
- What is Jerry Gardner's NPI number?
- Jerry Gardner's National Provider Identifier (NPI) is 1780611822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Gardner's specialty?
- Jerry Gardner is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jerry Gardner located?
- Jerry Gardner's practice location on file with NPPES is 2125 River Rd, Niskayuna, NY 12309-1135.
- What is Jerry Gardner's phone number?
- The practice phone number listed in the NPPES registry for Jerry Gardner is (518) 836-3030.
- Does Jerry Gardner accept Medicare?
- Jerry Gardner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerry Gardner's NPI active?
- Yes — Jerry Gardner's NPI (1780611822) is active in the NPPES registry as of the last update on 2021-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.