Brandon James Formoza, PA-C
NPI 1700778446ActiveIndividual· Physician Assistant· Potsdam, NY
Physician Assistant (PA-C) with Canton-Potsdam Hospital, practicing in Potsdam, New York. Enrolled in Medicare as practitioner - physician assistant. Lists Canton-Potsdam Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1700778446 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jul 17, 2025 |
| Last updated in NPPES | Jul 17, 2025 |
| Certified by provider | Jul 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 034031 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Canton-Potsdam HospitalPotsdam, NY · 252 clinicians
Hospital affiliations
- Canton-Potsdam HospitalPotsdam, NY
- Slhs Massena, IncMassena, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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