Organization Active NPI

Northeast Emergency Medical Associates, PC

  • Emergency Medicine Physician
  • Schenectady, NY
National Provider Identifier
1003844606
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NORTHEAST EMERGENCY MEDICAL ASSOCIATES, PC
Practice address
1101 Nott St
@ Ellis Hospital ER Dept.
Schenectady, NY 12308-2425
Phone
(518) 383-5450
Fax
(518) 383-4223
NPI assigned
Jun 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stanley W Docyk, MD
Title
President
Phone
(518) 383-5450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

1101 Nott St
@ Ellis Hospital ER Dept.
Schenectady, NY 12308-2425

Mailing address

PO Box 1568
428 Clifton Corporate Park
Clifton Park, NY 12065-0807
Phone (518) 383-5450

National Provider Directory

National Provider Directory

Locations

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003844606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "address_2": "428 CLIFTON CORPORATE PARK",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120650807",
            "telephone_number": "518-383-5450",
            "fax_number": "518-383-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 NOTT ST",
            "address_2": "@ ELLIS HOSPITAL ER DEPT.",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082425",
            "telephone_number": "518-383-5450",
            "fax_number": "518-383-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST EMERGENCY MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOCYK",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-383-5450",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.