Organization Active NPI

Robert O. McCabe, D.P.M.

  • Podiatric Clinic/Center
  • Scotia, NY
National Provider Identifier
1487838710
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
3418 Issued in NY
Legal business name
ROBERT O. MCCABE, D.P.M.
Practice address
124 Saratoga Rd
Scotia, NY 12302-4114
Phone
(518) 399-7782
Fax
(518) 399-7783
NPI assigned
Dec 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Dr. Robert Owen McCabe, DPM
Title
Owner
Phone
(518) 399-7782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 3418 NY Primary

Addresses

Primary practice location

124 Saratoga Rd
Scotia, NY 12302-4114

Mailing address

124 Saratoga Rd
Scotia, NY 12302-4114
Phone (518) 399-7782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930078419 NY DME Supplier - Physician - Podiatry 9830219823 Practice locations: Scotia, NY

National Provider Directory

National Provider Directory

Locations

124 Saratoga Rd
Scotia, NY 12302
Phone (518) 384-0476

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1487838710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SARATOGA RD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123024114",
            "telephone_number": "518-399-7782",
            "fax_number": "518-399-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 SARATOGA RD",
            "city": "SCOTIA",
            "state": "NY",
            "postal_code": "123024114",
            "telephone_number": "518-399-7782",
            "fax_number": "518-399-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT O. MCCABE, D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "MCCABE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-399-7782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "NY",
            "license": "3418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.