NPIMap

Individual provider Active NPI

Hetal T Amin, D.O.

  • Family Medicine Physician
  • Glens Falls, NY
National Provider Identifier
1407092620
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
220388-1 Issued in NY
Practice address
7 Murray St
Glens Falls, NY 12801-4311
Phone
(518) 743-1010
Fax
(518) 743-1018
NPI assigned
Dec 17, 2008
Last updated
Dec 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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 220388-1 NY Primary

Addresses

Primary practice location

7 Murray St
Glens Falls, NY 12801-4311

Mailing address

7 Murray St
Glens Falls, NY 12801-4311
Phone (518) 743-1010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308001410 NY Practitioner - Family Practice 2264320548 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

1 W Ave
Suite 300
Saratoga Springs, NY 12866-6050
Phone (518) 693-4699

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion32
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220388-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince May 5, 2025 Accepting new patients
John C. Herzog, DO, PLLC CurrentSince Mar 1, 2012 Accepting new patients
John C. Herzog, DO, PLLC CurrentSince Aug 15, 2008 Accepting new patients
Saratoga Hospital Family Medicine CurrentSince May 5, 2025 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince May 5, 2025 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince May 5, 2025 Accepting new patients
Igor Kusayev Medical P.C. Past Accepting new patients

Locations

7 Murray St
Glens Falls, NY 12801
Phone (518) 743-1010

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

31 Myrtle St
Saratoga Springs, NY 12866
Phone (518) 584-3377

Interoperability endpoints

  • Direct secure messaging: hamin110157@albanymed.direct-ci.com

Organizations & group practices 8

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1407092620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MURRAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014311",
            "telephone_number": "518-743-1010",
            "fax_number": "518-743-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MURRAY ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014311",
            "telephone_number": "518-743-1010",
            "fax_number": "518-743-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "HETAL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "220388-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.