NPIMap

Organization Active NPI

Community Care Physicians, PC

Doing business as The Audiology Center at Community Care Physicians - Clifton Park

  • Audiologist
  • Halfmoon, NY
National Provider Identifier
1003358920
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
001103 Issued in NY
Legal business name
COMMUNITY CARE PHYSICIANS, PC
Doing business as
The Audiology Center at Community Care Physicians - Clifton Park
Practice address
1783 Route 9
Suite 206
Halfmoon, NY 12065-2409
Phone
(518) 783-3110
Fax
(518) 640-6756
NPI assigned
Nov 9, 2016
Last updated
Nov 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Diane M Stamas
Title
Senior Credentialing Coordinator
Phone
(518) 782-3742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 001103 NY Primary

Addresses

Primary practice location

1783 Route 9
Suite 206
Halfmoon, NY 12065-2409

Mailing address

711 Troy Schctdy Rd
Suite 203
Latham, NY 12110-2442
Phone (518) 782-3700

Other names 1

  • The Audiology Center at Community Care Physicians - Clifton Park Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mary Alice Norton NP121 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 13

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 13

Locations

1783 Route 9
Ste 206
Halfmoon, NY 12065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478649600000",
    "number": "1003358920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHCTDY RD",
            "address_2": "SUITE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 ROUTE 9",
            "address_2": "SUITE 206",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120652409",
            "telephone_number": "518-783-3110",
            "fax_number": "518-640-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2016-11-09",
        "status": "A",
        "authorized_official_last_name": "STAMAS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "518-782-3742"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "NY",
            "license": "001103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Audiology Center at Community Care Physicians - Clifton Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Halfmoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.