Active NPI
Agnes A. Gelder, M.D.
- Family Medicine Physician
- Troy, NY
National Provider Identifier
1508915661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 217349
- Practice address
- 85 Bloomingrove Dr
Troy, NY 12180-8552 - Phone
- (518) 283-2000
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 217349 | NY | Primary |
Addresses
Primary practice location
85 Bloomingrove Dr
Troy, NY 12180-8552
Mailing address
3 Sunrise Ter
Wynantskill, NY 12198-2821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022-15227 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| General Physician, PC | Past | Accepting new patients | |
| Family Care Medicine PC | Family Medicine | Past | Accepting new patients |
| Elder Medical Services PC | Past | Accepting new patients | |
| Rensselaer County Bureau of Finance | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- NPI 1740388719
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- Tonawanda, NY
- NPI 1730281627
-
- General Practice Physician
- Dunkirk, NY
- NPI 1093959322
-
dba Van Rensselaer Manor
- Skilled Nursing Facility
- Troy, NY
- NPI 1942299581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508915661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SUNRISE TER",
"city": "WYNANTSKILL",
"state": "NY",
"postal_code": "121982821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 BLOOMINGROVE DR",
"city": "TROY",
"state": "NY",
"postal_code": "121808552",
"telephone_number": "518-283-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GELDER",
"first_name": "AGNES",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "217349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022-15227",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.