Organization Active NPI

Schenectady Pediatrics

  • Specialist
  • Schenectady, NY
National Provider Identifier
1184817389
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1331021 Issued in NY
Legal business name
SCHENECTADY PEDIATRICS
Practice address
1726 Campbell Ave
Schenectady, NY 12306-5014
Phone
(518) 372-5370
Fax
(518) 372-3472
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2007

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

Authorized official

Name
Mrs. Wendy J Daunais, ASST
Title
Admin Asst
Phone
(518) 372-5370

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 1331021 NY Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 1383591 NY

Addresses

Primary practice location

1726 Campbell Ave
Schenectady, NY 12306-5014

Mailing address

1726 Campbell Avenue
Schenectady, NY 12306
Phone (518) 372-5370

Other identifiers 1

IdentifierTypeStateIssuer
00561495MedicaidNY

National Provider Directory

National Provider Directory

Locations

1726 Campbell Ave
Schenectady, NY 12306
Phone (518) 372-5370

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187654400000",
    "number": "1184817389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 CAMPBELL AVENUE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12306",
            "telephone_number": "518-372-5370",
            "fax_number": "518-372-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 CAMPBELL AVE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123065014",
            "telephone_number": "518-372-5370",
            "fax_number": "518-372-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHENECTADY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2007-08-21",
        "status": "A",
        "authorized_official_last_name": "DAUNAIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMIN ASST",
        "authorized_official_telephone_number": "518-372-5370",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ASST"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1331021",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "1383591",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00561495",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.