Organization Active NPI

Pamela Kaw MD

  • Specialist
  • Green Island, NY
National Provider Identifier
1205100237
Registry record updated Dec 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
239161 Issued in NY
Legal business name
PAMELA KAW MD
Practice address
10 Starbuck Dr
Green Island, NY 12183-1280
Phone
(518) 274-3390
Fax
(518) 274-3398
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2021

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

Authorized official

Name
Pamela KawNPI 1518919661
Title
Owner
Phone
(518) 274-3390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 239161 NY Primary

Addresses

Primary practice location

10 Starbuck Dr
Green Island, NY 12183-1280

Mailing address

451 Hoosick St
Troy, NY 12180-2100

Other identifiers 2

IdentifierTypeStateIssuer
10108518OtherNYCDPHP
1518919661MedicaidNY

National Provider Directory

National Provider Directory

Locations

10 Starbuck Dr
Green Island, NY 12183
Phone (518) 274-3390

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": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640476800000",
    "number": "1205100237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 HOOSICK ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STARBUCK DR",
            "city": "GREEN ISLAND",
            "state": "NY",
            "postal_code": "121831280",
            "telephone_number": "518-274-3390",
            "fax_number": "518-274-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA KAW MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2021-12-26",
        "certification_date": "2021-12-26",
        "status": "A",
        "authorized_official_last_name": "KAW",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-274-3390"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "239161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10108518",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518919661",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2021; 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.