Active NPI
NC Medical of Ny PC
- Nurse Practitioner
- Latham, NY
National Provider Identifier
1174483408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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 PC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2336474 | Ua Local 7 Wellness Center | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- NC Medical of Ny PC
- 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.
-
- Primary Care Clinic/Center
- Vestal, NY
- NPI 1144104886
-
- Nurse Practitioner
- New York, NY
- NPI 1588253785
-
- Primary Care Clinic/Center
- Liverpool, NY
- NPI 1649087263
-
- Nurse Practitioner
- Schenectady, NY
- NPI 1972466126
-
- Adult Health Nurse Practitioner
- New York, NY
- NPI 1992257034
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.