NPIMap

Organization Active NPI

Thomas Nicolla Consulting Services, PLLC

  • Specialist
  • Latham, NY
National Provider Identifier
1295889079
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THOMAS NICOLLA CONSULTING SERVICES, PLLC
Practice address
11 Century Hill Dr
Latham, NY 12110-2151
Phone
(518) 786-1406
Fax
(518) 786-9003
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Thomas Nicolla
Title
Owner
Phone
(518) 786-1667

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

11 Century Hill Dr
Latham, NY 12110-2151

Mailing address

11 Century Hill Dr
Latham, NY 12110-2151
Phone (518) 786-1406

Other identifiers 2

IdentifierTypeStateIssuer
000413955001OtherNYBSNENY
CH8550OtherNYRAILROAD MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Thomas Niccolla Consulting Services PLLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

11 Century Hill Dr
Latham, NY 12110
Phone (518) 713-4595

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1295889079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CENTURY HILL DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102151",
            "telephone_number": "518-786-1406",
            "fax_number": "518-786-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CENTURY HILL DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102151",
            "telephone_number": "518-786-1406",
            "fax_number": "518-786-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS NICOLLA CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "NICOLLA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-786-1667"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000413955001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH8550",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.