Saratoga Hospital
Organization Active NPI Family Medicine Physician · Saratoga Springs, NY
NPI 1255795696 · NPPES record last updated Apr 12, 2016
Key facts
- NPI
- 1255795696
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SARATOGA HOSPITAL
- Practice address
- 3044 Route 50
Family Physicians Office
Saratoga Springs, NY 12866-3073 - Phone
- (518) 886-5800
- Fax
- (518) 886-5805
- NPI assigned
- Apr 12, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- SARATOGA HOSPITAL
Authorized official
- Name
- Mr. Gary L Foster
- Title
- VP and Cfo
- Phone
- (518) 886-5800
Corporate family (same tax ID) 32
National Provider Directory
- Tax ID family
- Manuel Astruc MD
- Part of
- Manuel Astruc MD
Locations
3044 Route 50
Ofc
Saratoga Springs, NY 12866
Phone (518) 886-5800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3044 Route 50
Family Physicians Office
Saratoga Springs, NY 12866-3073
Mailing address
3044 Route 50
Family Physicians Office
Saratoga Springs, NY 12866-3073
Phone (518) 886-5800
Other names
- Saratoga Family Physicans, Rte 50
NPI Registry JSON
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1460419200000",
"number": "1255795696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3044 ROUTE 50",
"address_2": "FAMILY PHYSICIANS OFFICE",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128663073",
"telephone_number": "518-886-5800",
"fax_number": "518-886-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3044 ROUTE 50",
"address_2": "FAMILY PHYSICIANS OFFICE",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128663073",
"telephone_number": "518-886-5800",
"fax_number": "518-886-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARATOGA HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SARATOGA HOSPITAL",
"enumeration_date": "2016-04-12",
"last_updated": "2016-04-12",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VP AND CFO",
"authorized_official_telephone_number": "518-886-5800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Saratoga Family Physicans, Rte 50",
"code": "5",
"type": "Other Name"
}
]
}
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All providers in Saratoga Springs, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.