Organization Active NPI

Noghama Internal Medicine PLLC

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1245656404
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOGHAMA INTERNAL MEDICINE PLLC
Practice address
1873 Western Ave
Ste 203
Albany, NY 12203-5028
Phone
(518) 608-6319
Fax
(518) 713-4180
NPI assigned
Mar 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Dr. Noghama Airhienbuwa, MD
Title
Owner
Phone
(518) 608-6319

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1873 Western Ave
Ste 203
Albany, NY 12203-5028

Mailing address

1873 Western Ave
Ste 203
Albany, NY 12203-5028
Phone (518) 608-6319

National Provider Directory

National Provider Directory

Locations

1873 Western Ave
Ste 203
Albany, NY 12203
Phone (518) 452-4910

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1245656404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 WESTERN AVE",
            "address_2": "STE 203",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035028",
            "telephone_number": "518-608-6319",
            "fax_number": "518-713-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 WESTERN AVE",
            "address_2": "STE 203",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035028",
            "telephone_number": "518-608-6319",
            "fax_number": "518-713-4180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOGHAMA INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "AIRHIENBUWA",
        "authorized_official_first_name": "NOGHAMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-608-6319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.