Active NPI
Ghazala Nathu
- Clinical Pathology Physician
- Waterford, NY
National Provider Identifier
1245608066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology Physician
- License
- 00639
- Practice address
- 46 3Rd St
Waterford, NY 12188-2437 - Phone
- (518) 237-0641
- NPI assigned
- Sep 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 00639 | NY | Primary |
Addresses
Primary practice location
46 3Rd St
Waterford, NY 12188-2437
Mailing address
46 3Rd St
Waterford, NY 12188-2437
Phone (518) 237-0641
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00639 | NY | MD | Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohammed Ismail MD PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/18260/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Waterford, NY
- NPI 1306935895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563408000000",
"number": "1245608066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 3RD ST",
"city": "WATERFORD",
"state": "NY",
"postal_code": "121882437",
"telephone_number": "518-237-0641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 3RD ST",
"city": "WATERFORD",
"state": "NY",
"postal_code": "121882437",
"telephone_number": "518-237-0641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATHU",
"first_name": "GHAZALA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-10",
"last_updated": "2019-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "NY",
"license": "00639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.