Albany Surgery Associates,PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ALBANY SURGERY ASSOCIATES,PC

Practice address

63 Shaker Rd Ste G04
Albany, NY 12204-1030

Phone

(518) 449-1307

Fax

(518) 449-8914

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Riaz Ahmad Mirza, MDNPI 1679545297

Title

Vice-President

Phone

(518) 449-1307

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Albany Surgery Associatespc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Albany Surgery Associates, PC

  • Surgery Physician
  • Albany, NY
  • NPI 1245506070
  NPD tax ID
• Albany Surgery Associates,PC

  • Surgery Physician
  • Albany, NY
  • NPI 1932475985
  NPD tax ID

Locations

Practitioners 1

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

• Riaz Ahmad Mirza, M.D.

  • Surgery Physician
  • Albany, NY
  • NPI 1679545297
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1306957469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD STE G04",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-449-1307",
            "fax_number": "518-449-8914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD STE G04",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-449-1307",
            "fax_number": "518-449-8914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY SURGERY ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "RIAZ",
        "authorized_official_middle_name": "AHMAD",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "518-449-1307",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Albany Upstate Dental PC
• Albany Winds of Change

• Surgery Physician in Albany, NY
• Providers in Albany, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.