Organization Active NPI

Wynantskill Family Practice P.C.

  • Family Medicine Physician
  • Wynantskill, NY
National Provider Identifier
1306032545
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WYNANTSKILL FAMILY PRACTICE P.C.
Practice address
9 W Sand Lake Rd
Wynantskill, NY 12198-7954
Phone
(518) 283-1974
Fax
(518) 283-2018
NPI assigned
Sep 21, 2007
Last updated
Dec 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Authorized official

Name
Dr. Ritchie J Parrotta, D.0..NPI 1477663243
Title
Physician
Phone
(518) 283-1974

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

9 W Sand Lake Rd
Wynantskill, NY 12198-7954

Mailing address

9 W Sand Lake Rd
Wynantskill, NY 12198-7954
Phone (518) 283-1974

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111214001079 NY Part B Supplier - Clinic/Group Practice 2668647934 Receives reassigned benefits from 1 practitioner
Practice locations: Wynantskill, NY

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
33D0161818Wynantskill Family Practice9 West Sand Lake Road, Wynantskill, NY 12198AccreditationDec 22, 2027

National Provider Directory

National Provider Directory

Locations

9 W Sand Lake Rd
Wynantskill, NY 12198
Phone (518) 283-1974

Practitioners & affiliated clinicians

Practitioners 6

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": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1306032545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W SAND LAKE RD",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121987954",
            "telephone_number": "518-283-1974",
            "fax_number": "518-283-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W SAND LAKE RD",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121987954",
            "telephone_number": "518-283-1974",
            "fax_number": "518-283-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNANTSKILL FAMILY PRACTICE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "PARROTTA",
        "authorized_official_first_name": "RITCHIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "518-283-1974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.0.."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynantskill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.