NPIMap

Organization Active NPI

Schenectady Pulmonary & Critical Care Associates PC

  • Pulmonary Disease Physician
  • Schenectady, NY
National Provider Identifier
1013042084
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
SCHENECTADY PULMONARY & CRITICAL CARE ASSOCIATES PC
Practice address
124 Rosa Rd
Suite 382
Schenectady, NY 12308-2116
Phone
(518) 386-3691
Fax
(518) 386-3553
NPI assigned
Feb 22, 2007
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Saeed U. Khan, MDNPI 1790834273
Title
Financial Officer
Phone
(518) 386-3691

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
Pulmonary Disease Physician 207RP1001X NU Primary

Addresses

Primary practice location

124 Rosa Rd
Suite 382
Schenectady, NY 12308-2116

Mailing address

124 Rosa Rd
Suite 382
Schenectady, NY 12308-2116
Phone (518) 386-3691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040430001011 NY Part B Supplier - Clinic/Group Practice 6608864590 Receives reassigned benefits from 31 practitioners
Practice locations: Schenectady, NY; Amsterdam, NY; Halfmoon, NY

National Provider Directory

National Provider Directory

Locations

100 Sandy Dr
Amsterdam, NY 12010
Phone (518) 843-3503

101 Town Square Dr
#A
Amsterdam, NY 12010
Phone (518) 289-2400

116 Polar Plz
Amsterdam, NY 12010
Phone (518) 627-0410

Practitioners & affiliated clinicians

Practitioners 44

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 44

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1013042084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ROSA RD",
            "address_2": "SUITE 382",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082116",
            "telephone_number": "518-386-3691",
            "fax_number": "518-386-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ROSA RD",
            "address_2": "SUITE 382",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082116",
            "telephone_number": "518-386-3691",
            "fax_number": "518-386-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHENECTADY PULMONARY & CRITICAL CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAEED",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "518-386-3691",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "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 Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.