Individual provider Active NPI

Carolyn Jean Slatch, MD

  • Obstetrics & Gynecology Physician
  • Albany, NY
National Provider Identifier
1265431951
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
214560-1 Issued in NY
Practice address
391 Myrtle Avenue, 2ND FLR
MC-74
Albany, NY 12208-3479
Phone
(518) 262-4942
Fax
(518) 262-2675
NPI assigned
Jul 15, 2005
Last updated
Feb 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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 214560-1 NY Primary

Addresses

Primary practice location

391 Myrtle Avenue, 2ND FLR
MC-74
Albany, NY 12208-3479

Mailing address

391 Myrtle Avenue
2ND Floor, MC-74
Albany, NY 12208-3479
Phone (518) 262-4942

Other identifiers 1

IdentifierTypeStateIssuer
01991102MedicaidNY

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
I20110210001054 NY Practitioner - Obstetrics/Gynecology 1658560750 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214560-1NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
Carenet Medical Group, PC Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
Albany Medical College CurrentSince Jan 1, 2016 Accepting new patients
Albany Medical College Obstetrics & Gynecology CurrentSince Jun 1, 2019 Accepting new patients
OBGYN Hospitalist Medical Services of New York, P.C. Obstetrics & Gynecology CurrentSince Dec 14, 2018 Accepting new patients
Albany Medical College Obstetrics & Gynecology Current Accepting new patients
Community Care Physicians, PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2022 Accepting new patients
Albany Medical Center Hospital Past Accepting new patients
Saratoga Regional Medical , P.C Obstetrics & Gynecology Past Accepting new patients

Locations

16 New Scotland Ave
Albany, NY 12208
Phone (518) 262-4942

391 Myrtle Ave
Albany, NY 12208
Phone (518) 262-5588

391 Myrtle Ave
Ste 2
Albany, NY 12208
Phone (518) 262-4942

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3773

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

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

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

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

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

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

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

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": "1454544000000",
    "number": "1265431951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVENUE",
            "address_2": "2ND FLOOR, MC-74",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083479",
            "telephone_number": "518-262-4942",
            "fax_number": "518-262-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVENUE, 2ND FLR",
            "address_2": "MC-74",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083479",
            "telephone_number": "518-262-4942",
            "fax_number": "518-262-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATCH",
        "first_name": "CAROLYN",
        "middle_name": "JEAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-15",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "214560-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01991102",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.