Nott Street Medical, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

NONE

Legal business name

NOTT STREET MEDICAL, PLLC

Practice address

1150 Nott St
Schenectady, NY 12308-2426

Phone

(518) 374-1655

Fax

(518) 374-1657

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ali Mirza, MDNPI 1477535458

Title

Owner & Sole Member

Phone

(518) 374-1655

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Wesley Health Care Center, Inc.

  • Physical Therapist
  • Saratoga Springs, NY
  • NPI 1013901982

  Adp of the SNF

  CMS ownership
• Wesley Health Care Center, Inc.

  • Skilled Nursing Facility
  • Saratoga Springs, NY
  • NPI 1710977459

  Adp of the SNF

  CMS ownership

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Y Mirza, MD

  • Internal Medicine Physician
  • Schenectady, NY
  • NPI 1477535458

  Internal Medicine, NY

  Medicare reassignment Care Compare group NPD Authorized official
• Nicole M George, F.N.P

  • Family Nurse Practitioner
  • Schenectady, NY
  • NPI 1801171632

  NY

  Medicare reassignment Care Compare group NPD
• Kenneth E Kent Jr., NP

  • Adult Health Nurse Practitioner
  • Albany, NY
  • NPI 1891119053

  NY

  Medicare reassignment Care Compare group NPD
• Megan Putnam, NP-BC

  • Family Nurse Practitioner
  • Fort Plain, NY
  • NPI 1912669151

  NY, Single Specialty

  Medicare reassignment Care Compare group NPD
• Katharine Badger, PA

  • Physician Assistant
  • Springfield, MA
  • NPI 1225454622

  NY

  Medicare reassignment Care Compare group NPD
• Isabel Rose Salamone, DNP

  • Adult Health Nurse Practitioner
  • Schenectady, NY
  • NPI 1982163317

  NY

  Medicare reassignment NPD
• Teresa Ann Clark, FNP-C

  • Family Nurse Practitioner
  • Palm Harbor, FL
  • NPI 1497429948

  NY

  Medicare reassignment
• Jennifer Snyder, NP

  • Family Nurse Practitioner
  • Albany, NY
  • NPI 1720711906
  NPD

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154330892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082426",
            "telephone_number": "518-374-1655",
            "fax_number": "518-374-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NOTT ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082426",
            "telephone_number": "518-374-1655",
            "fax_number": "518-374-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTT STREET MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER & SOLE MEMBER",
        "authorized_official_telephone_number": "518-374-1655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "H230",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northeast Parent and Child Society, Inc.
• Northeast Parent and Child Society, Inc.
• Northland Hearing Centers, Inc.
• Northland Hearing Centers, Inc.
• Lisa Ann Norton, LMHC
• Ashley Novak, OTR/L
• Lawrence J Numrich, RPH
• Natalie Nussbaum, PH.D.
• Rudy V Nydegger, PHD
• Nysarc, Inc Schenectady Co Chapter

• All providers in Schenectady, NY
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.