Organization Active NPI

NC Medical of Ny PC

  • Nurse Practitioner
  • Latham, NY
National Provider Identifier
1174483408
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
NC MEDICAL OF NY PC
Practice address
713 Troy Schenectady Rd Ste 133
Latham, NY 12110-2490
Phone
(518) 246-3210
NPI assigned
Nov 18, 2025
Organization subpart
Yes
Parent organization
NC MEDICAL OF NY PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Terry Layman, MD
Title
President
Phone
(317) 522-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

713 Troy Schenectady Rd Ste 133
Latham, NY 12110-2490

Mailing address

PO Box 1433
Portsmouth, NH 03802-1433

Other names 1

  • UA Local 7 Wellness Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2336474Ua Local 7 Wellness Center713 Troy-Schenectady Rd - Ste 133, Latham, NY 12110Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
NC Medical of Ny PC6 organizations share this tax ID, including this one
Part of
NC Medical of Ny PC

Other organizations with this tax ID 5

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

Locations

713 Troy Schenectady Rd
Ste 133
Latham, NY 12110
Phone (518) 246-3210

NPI Registry JSON

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1174483408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1433",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038021433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 TROY SCHENECTADY RD STE 133",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102490",
            "telephone_number": "518-246-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NC MEDICAL OF NY PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NC MEDICAL OF NY PC",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-522-0844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UA Local 7 Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.