Active NPI
New Scotland Medical PC
- Anesthesiology Physician
- Halfmoon, NY
National Provider Identifier
1407464399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yashar Ettekal, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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 DirectoryLocations
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.