NPIMap

Organization Active NPI

Nathan Littauer Hospital Association

  • Pharmacy
  • Gloversville, NY
National Provider Identifier
1285706655
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
013094 Issued in NY
Legal business name
NATHAN LITTAUER HOSPITAL ASSOCIATION
Practice address
99 E State St
Gloversville, NY 12078-1203
Phone
(518) 773-5583
Fax
(518) 773-5749
NPI assigned
Nov 14, 2006
Last updated
Dec 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Mr. David J Schaff, RPH
Title
Chief Pharmacist
Phone
(518) 773-5583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 013094 NY Primary

Addresses

Primary practice location

99 E State St
Gloversville, NY 12078-1203

Mailing address

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5583

Other identifiers 1

IdentifierTypeStateIssuer
313924MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101209000504 NY Part A Provider - Hospital 4183618101 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Johnstown, NY; Speculator, NY; Mayfield, NY; Gloversville, NY; Fonda, NY; Caroga Lake, NY; Broadalbin, NY; Amsterdam, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285706655. Details of each certification follow.

Hospital certification: CCN 330276

Legal name
NATHAN LITTAUER HOSPITAL ASSOCIATION
Doing business as
NATHAN LITTAUER HOSPITAL AND NURSING HOME
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 26, 2023
Beds
74
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 1, 1894 in NY
Enrollment address
99 E State St
Gloversville, NY 12078-1203
Hospital subgroups
General, Acute care

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Nathan Littauer HospitalCCN 330276 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Robert a Brandis4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sean M Fadale Individual Corporate OfficerPresident and Ceo Oct 5, 2020
Corporate DirectorPresident and Ceo Oct 5, 2020
W-2 Managing EmployeePresident and Ceo Oct 5, 2020 100%
Stephen Tomlinson Individual Corporate DirectorVice Chair Jan 1, 2018
Michael Redcross Individual W-2 Managing EmployeeDirector of Finance Jan 13, 2013
Gregory Truckenmiller Individual Corporate DirectorBoard Member Chair Jan 1, 2013
Polly Hoye Individual Corporate DirectorBoard Member Jan 1, 2023
Susan Johnson Individual Corporate DirectorBoard Member/Treasurer Jan 1, 2012
Holly Chamberlin Individual Corporate DirectorBoard Member Jan 1, 2012
Peter Kiernan Individual Corporate Director Jan 1, 2023
Michael Ostrander Individual Corporate OfficerVP Finance & Cfo Dec 31, 2012
Audrey Kline Individual Corporate Director Jan 1, 2023
Amy Pedrick Individual Corporate DirectorBoard Member Jan 1, 2018
Paul Naslund Individual Corporate Director Jan 1, 2023
Ryan Jeremiah Individual Corporate DirectorBoard Member Jan 1, 2018
John M Fox Individual Corporate DirectorBoard Member Jan 1, 2018
Tobin L Cash Individual Corporate DirectorBoard Member Jan 1, 2018

Practitioners & affiliated clinicians

Affiliated clinicians 275

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 275

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1285706655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-773-5583",
            "fax_number": "518-773-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E STATE ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781203",
            "telephone_number": "518-773-5583",
            "fax_number": "518-773-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN LITTAUER HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "SCHAFF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF PHARMACIST",
        "authorized_official_telephone_number": "518-773-5583",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NY",
            "license": "013094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "313924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

Verify at the official NPI Registry.