Active NPI
Schenectady Pediatrics
- Specialist
- Schenectady, NY
National Provider Identifier
1184817389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1331021
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1331021 | NY | Primary |
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00561495 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Schenectady, NY
- NPI 1588624829
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
- Schenectady Oral and Maxillofacial Surgery Associates
- Schenectady Otolaryngology Head & Neck Surgery LLP
- Schenectady Partners LLC
- Schenectady Pathology Associates PC
- Schenectady Pediatric Dentistry
- Schenectady Pulmonary & Critical Care Associates PC
- Schenectady Radiation Oncology LLC
- Schenectady Radiologists
- Schenectady Radiologists
- Schenectady Radiologists
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.