Organization Active NPI

Tristar Pathology LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Niskayuna, NY
National Provider Identifier
1447235205
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
TRISTAR PATHOLOGY LLC
Practice address
2210 Troy Schenectady Rd
Niskayuna, NY 12309-4725
Phone
(518) 786-6816
Fax
(518) 786-6816
NPI assigned
Dec 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maria Teresita Fernando, MDNPI 1982694154
Title
President
Phone
(518) 786-6816

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
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary

Addresses

Primary practice location

2210 Troy Schenectady Rd
Niskayuna, NY 12309-4725

Mailing address

PO Box 1461
Latham, NY 12110-8961
Phone (518) 786-6816

National Provider Directory

National Provider Directory

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": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447235205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1461",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121108961",
            "telephone_number": "518-786-6816",
            "fax_number": "518-786-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 TROY SCHENECTADY RD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123094725",
            "telephone_number": "518-786-6816",
            "fax_number": "518-786-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISTAR PATHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "MARIA TERESITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-786-6816",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niskayuna, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.