Active NPI
Richard Bruce Toll, M.D.
- Internal Medicine Physician
- Schenectady, NY
National Provider Identifier
1033143565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 131226
- Practice address
- 1201 Nott St
Suite 102
Schenectady, NY 12308-2589 - Phone
- (518) 382-7500
- Fax
- (518) 382-7572
- NPI assigned
- Jul 10, 2006
- Last updated
- Jul 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 131226 | NY | Primary |
Addresses
Primary practice location
1201 Nott St
Suite 102
Schenectady, NY 12308-2589
Mailing address
1201 Nott St
Suite 102
Schenectady, NY 12308-2589
Phone (518) 382-7500
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00491167 | Medicaid | NY | |
| 070302000077 | Other | NY | FIDELIS |
| 28N031 | Other | NY | EMPIRE BC |
| 47363 | Other | NY | GHI/HMO |
| 5945680 | Other | NY | AETNA |
| 10002050 | Other | NY | CDPHP |
| 11117 | Other | NY | MVP |
| 200197 | Other | NY | SENIOR WHOLE HEALTH |
| 000401552001 | Other | NY | BSNENY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Internal Medicine | Past | Accepting new patients |
| Community Care Physicians, PLLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Care Internal Medicine Niskayuna
- Internal Medicine Physician
- Niskayuna, NY
- NPI 1164704656
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1033143565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 NOTT ST",
"address_2": "SUITE 102",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082589",
"telephone_number": "518-382-7500",
"fax_number": "518-382-7572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NOTT ST",
"address_2": "SUITE 102",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082589",
"telephone_number": "518-382-7500",
"fax_number": "518-382-7572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLL",
"first_name": "RICHARD",
"middle_name": "BRUCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "131226",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00491167",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "070302000077",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "28N031",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO",
"identifier": "47363",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5945680",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10002050",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "11117",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "200197",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000401552001",
"state": "NY"
}
],
"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 Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.