Individual provider Active NPI

Keith Algozzine, PA

  • Physician Assistant
  • Troy, NY
National Provider Identifier
1295783249
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009365 Issued in NY
Practice address
1300 Massachusetts Ave
Troy, NY 12180-1628
Phone
(518) 268-5338
NPI assigned
May 4, 2006
Last updated
Jun 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009365 NY Primary

Addresses

Primary practice location

1300 Massachusetts Ave
Troy, NY 12180-1628

Mailing address

PO Box 10730
Westminster, CA 92685-0730
Phone (562) 809-3548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Concierge Medicine PLLC CurrentSince Jul 15, 2020 Accepting new patients
Island Medical Empire State, PLLC Physician Assistant Past Accepting new patients
Columbia Emergency Services, PC Past Accepting new patients

Locations

216 River St
Ste 3
Troy, NY 12180
Phone (844) 484-7362

Interoperability endpoints

  • Direct secure messaging: kalgozzine@1755.securemail.prognocis.com
  • Direct secure messaging: keith.algozzine_2859@2859.securemail.prognocis.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1295783249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10730",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926850730",
            "telephone_number": "562-809-3548",
            "fax_number": "562-468-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MASSACHUSETTS AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801628",
            "telephone_number": "518-268-5338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALGOZZINE",
        "first_name": "KEITH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.