Active NPI
Nicholas Garger Alsofrom, MD
- Emergency Medicine Physician
- Rutland, VT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 042.0016047
- Practice address
- 160 Allen St
Rutland, VT 05701-4560 - Phone
- (802) 775-7111
- NPI assigned
- Mar 21, 2019
- Last updated
- Dec 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Emergency Medicine Physician | 207P00000X | 042.0016047 | VT | Primary |
| Emergency Medicine Physician | 207P00000X | 327817 | NY |
Addresses
Primary practice location
160 Allen St
Rutland, VT 05701-4560
Mailing address
160 Allen St
Rutland, VT 05701-4560
Phone (802) 775-7111
Other practice location 1
75 Park Street
Elizabethtown, NY 12932
Phone (518) 873-3069
Other practice location 2
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-2345
Other practice location 3
101 Adirondack Dr
Ticonderoga, NY 12883-9333
Phone (518) 585-3700
Other practice location 4
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7371
Other practice location 5
133 Park St
Malone, NY 12953-1244
Phone (518) 481-2336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Boston University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Emergency Medicine | Current | Accepting new patients |
| Rutland Hospital, Inc | Emergency Medicine | Current | Accepting new patients |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Emergency Medicine | Current | Accepting new patients |
| Elizabethtown Community Hospital | Current | Accepting new patients | |
| Associates in Radiology of Plattsburgh Ny PC | Past | Accepting new patients | |
| Rutland Hospital, Inc. | Past | Accepting new patients |
Locations
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
101 Adirondack Dr
Ste 1
Ticonderoga, NY 12883
Phone (518) 585-2831
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415
160 Allen St
Rutland, VT 05701
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/6f43d0e7-6ff2-489b-abdc-44e8a5e0ca0a/
- https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
- nalsofrom195007@direct.uvmhealth.org
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
Emergency Medicine
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
Emergency Medicine
-
- Emergency Medicine Physician
- Rutland, VT
- NPI 1194789941
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- General Practice Physician
- Elizabethtown, NY
- NPI 1053656744
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
-
- General Practice Physician
- Malone, NY
- NPI 1568735660
-
dba Rutland Regional Medical Center
- General Acute Care Hospital
- Rutland, VT
- NPI 1720042203
-
- Diagnostic Radiology Physician
- Plattsburgh, NY
- NPI 1588617625
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
dba Elizabethtown Community Hospital Transport
- Ambulance
- Elizabethtown, NY
- NPI 1487923637
Hospital
-
- Critical Access Hospital
- Elizabethtown, NY
- NPI 1891785184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765152000000",
"number": "1235699828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 ALLEN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014560",
"telephone_number": "802-775-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ALLEN ST",
"city": "RUTLAND",
"state": "VT",
"postal_code": "057014560",
"telephone_number": "802-775-7111"
}
],
"practiceLocations": [
{
"address_1": "75 Park Street",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "NY",
"postal_code": "12932",
"country_code": "US",
"telephone_number": "518-873-3069",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 Colchester Ave",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "VT",
"postal_code": "054011473",
"country_code": "US",
"telephone_number": "802-847-2345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "101 Adirondack Dr",
"address_purpose": "LOCATION",
"city": "Ticonderoga",
"state": "NY",
"postal_code": "128839333",
"country_code": "US",
"telephone_number": "518-585-3700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "75 Beekman St",
"address_purpose": "LOCATION",
"city": "Plattsburgh",
"state": "NY",
"postal_code": "129011438",
"country_code": "US",
"telephone_number": "518-562-7371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "133 Park St",
"address_purpose": "LOCATION",
"city": "Malone",
"state": "NY",
"postal_code": "129531244",
"country_code": "US",
"telephone_number": "518-481-2336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALSOFROM",
"first_name": "NICHOLAS",
"middle_name": "GARGER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-21",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VT",
"license": "042.0016047",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "327817",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.