Skip to content

Bethany Brooke Pajak, D.O.

NPI 1194011122ActiveIndividual· General Practice· Fort Drum, NY

General Practice (D.O.) in Fort Drum, New York, licensed in NY and GA, with an NPI issued in June 2011.

Overview

NPI1194011122
StatusActive
Entity typeIndividual
CredentialD.O.
Sole proprietorNo
NPI issuedJun 28, 2011
Last updated in NPPESMar 3, 2026
Certified by providerMar 3, 2026

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X276761NY
General Practice208D00000X070562GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other General Practice providers in Fort Drum

All General Practice providers in New York →