Active NPI
Hoyte T Van Der Zee, M.D.
- Anesthesiology Physician
- Latham, NY
National Provider Identifier
1306805478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 22174
- Practice address
- 1072 Troy Schenectady Rd
Latham, NY 12110-1025 - Phone
- (518) 783-0035
- Fax
- (518) 786-1160
- NPI assigned
- Mar 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 22174 | WV | Primary |
Addresses
Primary practice location
1072 Troy Schenectady Rd
Latham, NY 12110-1025
Mailing address
PO Box 11716
Albany, NY 12211-0716
Phone (518) 389-1803
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 111029-1 | Other | NY | LICENSE |
| 3810004369 | Medicaid | WV |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111029 | NY | MD | Social Worker |
| 22174 | WV | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1306805478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11716",
"city": "ALBANY",
"state": "NY",
"postal_code": "122110716",
"telephone_number": "518-389-1803",
"fax_number": "518-389-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1072 TROY SCHENECTADY RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121101025",
"telephone_number": "518-783-0035",
"fax_number": "518-786-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DER ZEE",
"first_name": "HOYTE",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-18",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "22174",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "111029-1",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004369",
"state": "WV"
}
],
"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 Dec 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.