Individual provider Active NPI

Medgina Forestal, M.D.

  • Family Medicine Physician
  • Schenectady, NY
National Provider Identifier
1396000212
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
282322 Issued in NY
Practice address
624 McClellan St
Suite 101
Schenectady, NY 12304-1020
Phone
(518) 382-2260
Fax
(518) 347-5007
NPI assigned
Jul 6, 2012
Last updated
Jun 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 282322 NY Primary

Addresses

Primary practice location

624 McClellan St
Suite 101
Schenectady, NY 12304-1020

Mailing address

600 McClellan St
2 West
Schenectady, NY 12304-1009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160127001877 NY Practitioner - Family Practice 5698078509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

85 Bloomingrove Dr
Troy, NY 12180-8433
Phone (518) 283-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
282322NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rensselaer County Bureau of Finance CurrentSince Feb 27, 2025 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated CurrentSince Dec 1, 2015 Accepting new patients
Rensselaer County Bureau of Finance CurrentSince Feb 27, 2025 Accepting new patients
Ellis Hospital Past Accepting new patients
Ellis Hospital Family Medicine Past Accepting new patients

Locations

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

85 Bloomingrove Dr
Troy, NY 12180
Phone (212) 851-8100

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1396000212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "address_2": "2 WEST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN ST",
            "address_2": "SUITE 101",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041020",
            "telephone_number": "518-382-2260",
            "fax_number": "518-347-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORESTAL",
        "first_name": "MEDGINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "282322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.