NPIMap

Organization Active NPI

Adirondack Medical Center

  • Orthopaedic Surgery Physician
  • Lake Placid, NY
National Provider Identifier
1043091648
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ADIRONDACK MEDICAL CENTER
Practice address
203 Old Military Rd
Lake Placid, NY 12946-1738
Phone
(518) 523-1327
Fax
(518) 523-9964
NPI assigned
Oct 10, 2023
Last updated
Oct 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ADIRONDACK MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Authorized official

Name
Adele Pickreign
Title
Credentialing Coordinator
Phone
(518) 897-4725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

203 Old Military Rd
Lake Placid, NY 12946-1738

Mailing address

PO Box 1380
Attn: Provider Enrollment
Saranac Lake, NY 12983
Phone (518) 897-4725

Other practice location 1

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141

Other names 1

  • Adirondack Medical Center-Orthopedics Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231206002949 NY Part B Supplier - Clinic/Group Practice 9638081284 Receives reassigned benefits from 9 practitioners
Practice locations: Lake Placid, NY; Plattsburgh, NY; Saranac Lake, NY

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Adirondack Medical Cent

Practitioners & affiliated clinicians

Practitioners 9

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1043091648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "address_2": "ATTN: PROVIDER ENROLLMENT",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "12983",
            "telephone_number": "518-897-4725",
            "fax_number": "518-897-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 OLD MILITARY RD",
            "city": "LAKE PLACID",
            "state": "NY",
            "postal_code": "129461738",
            "telephone_number": "518-523-1327",
            "fax_number": "518-523-9964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2233 State Route 86",
            "address_purpose": "LOCATION",
            "city": "Saranac Lake",
            "state": "NY",
            "postal_code": "129835644",
            "country_code": "US",
            "telephone_number": "518-891-4141",
            "fax_number": "518-897-9014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADIRONDACK MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADIRONDACK MEDICAL CENTER",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "PICKREIGN",
        "authorized_official_first_name": "ADELE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "518-897-4725"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adirondack Medical Center-Orthopedics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Placid, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.