Active NPI
Digestive Disease Assoc of Schenectady
- Specialist
- Schenectady, NY
National Provider Identifier
1477625663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 124426
- Legal business name
- DIGESTIVE DISEASE ASSOC OF SCHENECTADY
- Practice address
- 2147 Eastern Pkwy
Schenectady, NY 12309-6350 - Phone
- (518) 382-1153
- Fax
- (518) 370-1980
- NPI assigned
- Nov 14, 2006
- 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
- Ms. Teresa M Hafler
- Title
- Manager
- Phone
- (518) 382-1153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 124426 | NY | Primary |
Addresses
Primary practice location
2147 Eastern Pkwy
Schenectady, NY 12309-6350
Mailing address
2147 Eastern Pkwy
Schenectady, NY 12309-6350
Phone (518) 382-1153
National Provider Directory
National Provider DirectoryLocations
425 Guy Park Ave
Ste 304
Amsterdam, NY 12010
Phone (518) 382-1151
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Gloversville, NY
- NPI 1366528523
-
- Physician Assistant
- Slingerlands, NY
- NPI 1619231354
-
- Physician Assistant
- Latham, NY
- NPI 1851470116
-
- Physician Assistant
- Albany, NY
- NPI 1699853838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477625663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2147 EASTERN PKWY",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123096350",
"telephone_number": "518-382-1153",
"fax_number": "518-370-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2147 EASTERN PKWY",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123096350",
"telephone_number": "518-382-1153",
"fax_number": "518-370-1980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGESTIVE DISEASE ASSOC OF SCHENECTADY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HAFLER",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "518-382-1153",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "124426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, 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.