NPIMap

Organization Active NPI

Troy Pediatrics, LLP

  • Pediatrics Physician
  • Troy, NY
National Provider Identifier
1497721575
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TROY PEDIATRICS, LLP
Practice address
258 Hoosick St
Suite 106
Troy, NY 12180-2427
Phone
(518) 271-1331
Fax
(518) 271-8712
NPI assigned
Feb 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Authorized official

Name
Dr. Pamela C Walders, M.D.NPI 1447242425
Title
Medical Doctor
Phone
(518) 271-1331

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X NY Primary

Addresses

Primary practice location

258 Hoosick St
Suite 106
Troy, NY 12180-2427

Mailing address

258 Hoosick St
Suite 106
Troy, NY 12180-2427
Phone (518) 271-1331

Other identifiers 2

IdentifierTypeStateIssuer
1056OtherNYCDPHP
00543191MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1140998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1497721575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 HOOSICK ST",
            "address_2": "SUITE 106",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802427",
            "telephone_number": "518-271-1331",
            "fax_number": "518-271-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 HOOSICK ST",
            "address_2": "SUITE 106",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802427",
            "telephone_number": "518-271-1331",
            "fax_number": "518-271-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY PEDIATRICS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "WALDERS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "518-271-1331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "1056",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00543191",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.