Individual provider Active NPI

Amelita Vasco Balagtas, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Schenectady, NY
National Provider Identifier
1205925005
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
114963 Issued in NY
Practice address
650 Franklin St Ste 103
Schenectady, NY 12305-2168
Phone
(518) 393-1367
Fax
(518) 393-1367
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 114963 NY Primary

Addresses

Primary practice location

650 Franklin St Ste 103
Schenectady, NY 12305-2168

Mailing address

650 Franklin St Ste 103
Schenectady, NY 12305-2168
Phone (518) 393-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
114963NYMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205925005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 FRANKLIN ST STE 103",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052168",
            "telephone_number": "518-393-1367",
            "fax_number": "518-393-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 FRANKLIN ST STE 103",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052168",
            "telephone_number": "518-393-1367",
            "fax_number": "518-393-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALAGTAS",
        "first_name": "AMELITA",
        "middle_name": "VASCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "114963",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 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.