Active NPI
Christopher M Pawlinga, M.D.
- Family Medicine Physician
- Schenectady, NY
National Provider Identifier
1255488342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 236500
- Practice address
- 1667 Elizabeth St
Schenectady, NY 12303-3805 - Phone
- (518) 356-5377
- Fax
- (518) 881-1489
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 236500 | NY | Primary |
Addresses
Primary practice location
1667 Elizabeth St
Schenectady, NY 12303-3805
Mailing address
1667 Elizabeth St
Schenectady, NY 12303-3805
Phone (518) 356-5377
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02685990 | Medicaid | NY | |
| 131001000109 | Other | NY | FIDELIS |
| 7372689 | Other | NY | AETNA |
| 702232 | Other | NY | GHI/HMO |
| 7348A1 | Other | NY | EMPIRE BLUECROSS BLUESHIELD |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Director Services PC | Current | Accepting new patients | |
| Sun Medical Care PC | Family Medicine | Current | Accepting new patients |
| Union Street Family Medicine, LLC | Family Medicine | Current | Accepting new patients |
Locations
526 Altamont Ave
Schenectady, NY 12303
Phone (518) 346-6121
463 Saratoga Rd
Scotia, NY 12302
Phone (518) 399-2233
49 Marvin Ave
Troy, NY 12180
Phone (518) 272-6717
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Princess Anne, MD
- NPI 1871955807
NY
-
- Family Medicine Physician
- Schenectady, NY
- NPI 1790830222
-
- Family Medicine Physician
- Scotia, NY
- NPI 1003924200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387756800000",
"number": "1255488342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1667 ELIZABETH ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123033805",
"telephone_number": "518-356-5377",
"fax_number": "518-881-1489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1667 ELIZABETH ST",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123033805",
"telephone_number": "518-356-5377",
"fax_number": "518-881-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLINGA",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2013-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "236500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02685990",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "131001000109",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7372689",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO",
"identifier": "702232",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUECROSS BLUESHIELD",
"identifier": "7348A1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.