Individual provider Active NPI

Deborah A. Hrustich, M.D.

  • Neurological Surgery Physician
  • Albany, NY
National Provider Identifier
1003878570
Registry record updated Jan 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
161491 Issued in NY
Practice address
350 Northern Blvd
Suite 105
Albany, NY 12204-1000
Phone
(518) 446-1850
Fax
(518) 518-5287
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 161491 NY Primary

Addresses

Primary practice location

350 Northern Blvd
Suite 105
Albany, NY 12204-1000

Mailing address

350 Northern Blvd
Suite 105
Albany, NY 12204-1000
Phone (518) 446-1850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004000203 NY Practitioner - Neurosurgery 0143203984 Practice locations: Albany, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295827200000",
    "number": "1003878570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NORTHERN BLVD",
            "address_2": "SUITE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041000",
            "telephone_number": "518-446-1850",
            "fax_number": "518-518-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NORTHERN BLVD",
            "address_2": "SUITE 105",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041000",
            "telephone_number": "518-446-1850",
            "fax_number": "518-518-5287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRUSTICH",
        "first_name": "DEBORAH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "161491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.