NPIMap

Organization Active NPI

Schenectady Radiologists, P.C.

  • Diagnostic Radiology Physician
  • Clifton Park, NY
National Provider Identifier
1508100140
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
149212 Issued in NY
Legal business name
SCHENECTADY RADIOLOGISTS, P.C.
Practice address
103 Sitterly Road
Clifton Park, NY 12065
Phone
(518) 579-2700
Fax
(518) 372-2272
NPI assigned
Nov 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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

Authorized official

Name
Gary W. Wood, MD
Title
Radiologist
Phone
(518) 372-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 149212 NY Primary

Addresses

Primary practice location

103 Sitterly Road
Clifton Park, NY 12065

Mailing address

107 Nott Terrace
Suite 100
Schenectady, NY 12308
Phone (518) 372-4405

Other identifiers 1

IdentifierTypeStateIssuer
00752130MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Schenectady Radiologists9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

103 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 579-2700

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1508100140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NOTT TERRACE",
            "address_2": "SUITE 100",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12308",
            "telephone_number": "518-372-4405",
            "fax_number": "518-372-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SITTERLY ROAD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "12065",
            "telephone_number": "518-579-2700",
            "fax_number": "518-372-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHENECTADY RADIOLOGISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "518-372-4405",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "149212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00752130",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.