NPIMap

Organization Active NPI

Fulton County Public Health

  • Case Management Agency
  • Johnstown, NY
National Provider Identifier
1114137544
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
1116L001 Issued in NY
Legal business name
FULTON COUNTY PUBLIC HEALTH
Practice address
2714 St Hwy 29
Johnstown, NY 12095-0415
Phone
(518) 736-5720
Fax
(518) 762-1382
NPI assigned
May 23, 2007
Last updated
Mar 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Authorized official

Name
Dr. Irina Gelman, DPM
Title
Director of Public Health
Phone
(518) 736-5720

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 1116L001 NY Primary
Early Intervention Provider Agency 252Y00000X NU

Addresses

Primary practice location

2714 St Hwy 29
Johnstown, NY 12095-0415

Mailing address

2714 St Hwy 29
P.O.Box 415
Johnstown, NY 12095-0415
Phone (518) 736-5720

Other identifiers 1

IdentifierTypeStateIssuer
02057587MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Fulton Cty Infirmary RH5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1114137544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 ST HWY 29",
            "address_2": "P.O.BOX 415",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120950415",
            "telephone_number": "518-736-5720",
            "fax_number": "518-762-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 ST HWY 29",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "120950415",
            "telephone_number": "518-736-5720",
            "fax_number": "518-762-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY PUBLIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "GELMAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "DIRECTOR OF PUBLIC HEALTH",
        "authorized_official_telephone_number": "518-736-5720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NY",
            "license": "1116L001",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02057587",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.