Organization Active NPI

New Scotland Medical PC

  • Anesthesiology Physician
  • Halfmoon, NY
National Provider Identifier
1407464399
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
NEW SCOTLAND MEDICAL PC
Practice address
1596 Route 9
Halfmoon, NY 12065-4303
Phone
(518) 371-6772
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Authorized official

Name
Dr. Yashar Ettekal, MDNPI 1114160660
Title
Partner
Phone
(310) 720-3828

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

1596 Route 9
Halfmoon, NY 12065-4303

Mailing address

1399 New Scotland Rd Unit 124
Slingerlands, NY 12159-4206
Phone (310) 720-3828

National Provider Directory

National Provider Directory

Locations

1399 New Scotland Rd
Unit 124
Slingerlands, NY 12159

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594944000000",
    "number": "1407464399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 NEW SCOTLAND RD UNIT 124",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121594206",
            "telephone_number": "310-720-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 ROUTE 9",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120654303",
            "telephone_number": "518-371-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SCOTLAND MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A",
        "authorized_official_last_name": "ETTEKAL",
        "authorized_official_first_name": "YASHAR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-720-3828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Halfmoon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.