NPIMap

Organization Active NPI

Ellis Hospital

  • Primary Care Clinic/Center
  • Schenectady, NY
National Provider Identifier
1023598331
Registry record updated Aug 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
4601001H Issued in NY
Legal business name
ELLIS HOSPITAL
Practice address
624 McClellan St Ste G2
Schenectady, NY 12304-1024
Phone
(518) 382-2203
NPI assigned
Aug 16, 2018
Organization subpart
Yes
Parent organization
ELLIS HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2018

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

Authorized official

Name
Paul A Milton
Title
Ceo
Phone
(518) 243-4175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 4601001H NY Primary

Addresses

Primary practice location

624 McClellan St Ste G2
Schenectady, NY 12304-1024

Mailing address

624 McClellan St Ste G2
Schenectady, NY 12304-1024
Phone (518) 382-2203

Other names 1

  • Ellis Internal Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Edward W Doucet MD37 organizations share this tax ID, including this one
Part of
Edward W Doucet MD

Other organizations with this tax ID 36

Organizations that report the same tax identification number in the National Provider Directory.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1023598331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN ST STE G2",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041024",
            "telephone_number": "518-382-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN ST STE G2",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041024",
            "telephone_number": "518-382-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELLIS HOSPITAL",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "MILTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "518-243-4175"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "4601001H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ellis Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2018; 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.