NPIMap

Organization Active NPI

North Star Emergency Physicians, PC

  • Emergency Medicine Physician
  • Potsdam, NY
National Provider Identifier
1063471779
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NORTH STAR EMERGENCY PHYSICIANS, PC
Practice address
50 Leroy St
Potsdam, NY 13676-1786
Phone
(315) 265-1120
Fax
(315) 265-1121
NPI assigned
Mar 21, 2006
Last updated
May 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Paula J Nezezon, CPC
Title
General Manager
Phone
(315) 265-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

50 Leroy St
Potsdam, NY 13676-1786

Mailing address

20 Cottage St
RM 211
Potsdam, NY 13676-2800
Phone (315) 265-1120

National Provider Directory

National Provider Directory

Locations

20 Cottage St
Rm 211
Potsdam, NY 13676

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1063471779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 COTTAGE ST",
            "address_2": "RM 211",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136762800",
            "telephone_number": "315-265-1120",
            "fax_number": "315-265-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-265-1120",
            "fax_number": "315-265-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STAR EMERGENCY PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "NEZEZON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "315-265-1120",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potsdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.