NPIMap

Organization Active NPI

Adirondack Pediatrics, P.C.

  • Health Service Clinic/Center
  • Glens Falls, NY
National Provider Identifier
1285667634
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
ADIRONDACK PEDIATRICS, P.C.
Practice address
84 Broad St
Glens Falls, NY 12801-4381
Phone
(518) 798-9538
Fax
(518) 798-9576
NPI assigned
Jul 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John C. Braico, M.D.NPI 1518985860
Title
President
Phone
(518) 798-9538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

84 Broad St
Glens Falls, NY 12801-4381

Mailing address

84 Broad St
Glens Falls, NY 12801-4381
Phone (518) 798-9538

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0164609Adirondack Pediatrics84 Broad St, Glens Falls, NY 12801Certificate of waiverMar 31, 2028

National Provider Directory

National Provider Directory

Locations

84 Broad St
Ste 1
Glens Falls, NY 12801
Phone (518) 798-9538

84 Broad St
Queensbury, NY 12801
Phone (518) 636-5284

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285667634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014381",
            "telephone_number": "518-798-9538",
            "fax_number": "518-798-9576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 BROAD ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014381",
            "telephone_number": "518-798-9538",
            "fax_number": "518-798-9576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAICO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-798-9538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.