Adila Nathu, MD,PA

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

000056 Issued in NY

Practice address

46 3Rd St
Waterford, NY 12188-2455

Phone

(518) 237-0641

NPI assigned

Jul 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine, Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18260/brand/1/csg/1/fhir/r4

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.

• Adscis LLC

  • Clinical Medical Laboratory
  • Waterford, NY
  • NPI 1437813383
  NPD Authorized official
• Mohammed Ismail MD PC

  • Internal Medicine Physician
  • Waterford, NY
  • NPI 1306935895
  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1245882182",
    "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": "121882455",
            "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": "121882455",
            "telephone_number": "518-237-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHU",
        "first_name": "ADILA",
        "name_prefix": "Dr.",
        "credential": "MD,PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "NY",
            "license": "000056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth Martin, NP
• Michael T McEvoy, RN
• Rebecca Hyde Miles, P.T.
• Mohammed Ismail MD PC
• Amita N Nair, MD
• Ghazala Nathu
• Zahid Nazir, M.D.
• Paul Anthony Noto, PT, DPT
• Jennifer Rose Oneill, LPN
• Cody Paquin, EMT

• Clinical Pathology Physician in Waterford, NY
• Providers in Waterford, NY by specialty
• Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.