Organization Active NPI

Digestive Disease Assoc of Schenectady

  • Specialist
  • Schenectady, NY
National Provider Identifier
1477625663
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
124426 Issued in NY
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

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
Ms. Teresa M Hafler
Title
Manager
Phone
(518) 382-1153

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.