NPIMap

Organization Active NPI

Adirondack Surgical Associates, PC

  • Specialist
  • Glens Falls, NY
National Provider Identifier
1003858580
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
104380 Issued in NY
Legal business name
ADIRONDACK SURGICAL ASSOCIATES, PC
Practice address
102 Park St
Suite 202
Glens Falls, NY 12801-4449
Phone
(518) 761-2347
Fax
(518) 793-6658
NPI assigned
Jun 11, 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
Mr. Denis Lusignan, M.D.NPI 1689611857
Title
President
Phone
(518) 761-2347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 104380 NY Primary

Addresses

Primary practice location

102 Park St
Suite 202
Glens Falls, NY 12801-4449

Mailing address

PO Box 787
Suite 202
Glens Falls, NY 12801-0787
Phone (518) 761-2347

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003858580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "address_2": "SUITE 202",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010787",
            "telephone_number": "518-761-2347",
            "fax_number": "518-793-6658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PARK ST",
            "address_2": "SUITE 202",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014449",
            "telephone_number": "518-761-2347",
            "fax_number": "518-793-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK SURGICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUSIGNAN",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-761-2347",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "104380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, 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.