Individual provider Active NPI

Katja Elizabeth Bock, MD

  • Obstetrics & Gynecology Physician
  • Saratoga Springs, NY
National Provider Identifier
1255330916
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
196652-1 Issued in NY
Practice address
59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1044
Phone
(518) 587-2400
Fax
(518) 581-0141
NPI assigned
Jul 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 196652-1 NY Primary

Addresses

Primary practice location

59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1044

Mailing address

59 Myrtle St
Suite 100
Saratoga Springs, NY 12866-1044
Phone (518) 587-2400

Other identifiers 1

IdentifierTypeStateIssuer
1528490MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050221000464 NY Practitioner - Obstetrics/Gynecology 2668448440 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
196652-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carenet Medical Group, PC Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
Community Care Physicians, PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2022 Accepting new patients
Ellis Hospital Past Accepting new patients
Saratoga Regional Medical , P.C Obstetrics & Gynecology Past Accepting new patients

Locations

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

713 Troy Schenectady Rd
Ste 215
Latham, NY 12110
Phone (518) 370-7937

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

700 McClellan St
Ste 101
Schenectady, NY 12304
Phone (518) 374-9153

2123 River Rd
Schenectady, NY 12309
Phone (518) 381-1121

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1255330916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 MYRTLE ST",
            "address_2": "SUITE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661044",
            "telephone_number": "518-587-2400",
            "fax_number": "518-581-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 MYRTLE ST",
            "address_2": "SUITE 100",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661044",
            "telephone_number": "518-587-2400",
            "fax_number": "518-581-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCK",
        "first_name": "KATJA",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "196652-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528490",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.