Community Care Physicians, PC
Organization Active NPI Internal Medicine Physician · Slingerlands, NY
NPI 1083986764 · NPPES record last updated Jan 29, 2013
Key facts
- NPI
- 1083986764
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 234093 (NY)
- Legal business name
- COMMUNITY CARE PHYSICIANS, PC
- Practice address
- 14 Vista Blvd
Slingerlands, NY 12159-2184 - Phone
- (518) 459-5273
- Fax
- (518) 489-5790
- NPI assigned
- Jan 27, 2012
- Organization subpart
- No
Authorized official
- Name
- Diane M Stamas
- Title
- Senior Credentialing Coordinator
- Phone
- (518) 782-3742
Corporate family (same tax ID) 23
Practitioners 10
-
Lev L Barats, MD
-
Tara Ellen Fay, FNP-BC
-
Terry John Kallner Jr., FNP-C
-
Jude Ann Koblenzer, ANP-BC
-
Danine McShane, NP
-
George Fayk Melad Soryal, M.D.
-
Eugenia Voronin, FNP-BC
-
Kristienna M Doro, FNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0162301 | Community Care Physicians, PC | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
- Tax ID family
- East Hudson Community C
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 234093 | NY | Yes |
Addresses
Primary practice location
14 Vista Blvd
Slingerlands, NY 12159-2184
Mailing address
711 Troy Schenectady Rd
Suite 203
Latham, NY 12110-2442
Phone (518) 782-3700
Other names
- The Office of Dr. Barats
NPI Registry JSON
{
"created_epoch": "1327622400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359417600000",
"number": "1083986764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD",
"address_2": "SUITE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102442",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 VISTA BLVD",
"city": "SLINGERLANDS",
"state": "NY",
"postal_code": "121592184",
"telephone_number": "518-459-5273",
"fax_number": "518-489-5790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY CARE PHYSICIANS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-27",
"last_updated": "2013-01-29",
"status": "A",
"authorized_official_last_name": "STAMAS",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "SENIOR CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "518-782-3742"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "234093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Office of Dr. Barats",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.