Pediatric Associates of Troy PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

227601 Issued in NY

Legal business name

PEDIATRIC ASSOCIATES OF TROY PLLC

Practice address

2001 5TH Ave
Troy, NY 12180-3340

Phone

(518) 272-0232

Fax

(518) 272-4083

NPI assigned

Oct 1, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Geetha Gurrala, M.D

Title

Partner

Phone

(518) 272-0232

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BELLO AND MALONE Former legal business name

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1235380809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803340",
            "telephone_number": "518-272-0232",
            "fax_number": "518-272-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 5TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121803340",
            "telephone_number": "518-272-0232",
            "fax_number": "518-272-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ASSOCIATES OF TROY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-01",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "GURRALA",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "518-272-0232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "227601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00994918",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLO AND MALONE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Susan Paurowski
• Pay Yourself Mind (Don't Mind Me: Psyschiatry)
• Keegan Payne, MD
• Jennifer I Paz-Riley
• Pediatric Associates of Troy
• Pegasus Emergency Medicine Troy Ny PC
• Carissa Pellerin
• James Pelton, PHARMD
• Deborah A Peppin, RN
• Deandra Perez

• Primary Care Clinic/Center in Troy, NY
• Providers in Troy, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; 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.