Adirondack Nephrology PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

1550461 Issued in NY

Legal business name

ADIRONDACK NEPHROLOGY PC

Practice address

20 Murray Street
Glens Falls, NY 12801-2018

Phone

(518) 798-3838

Fax

(518) 798-6125

NPI assigned

Dec 5, 2006

Last updated

Mar 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Carlton Mihindu, MD

Title

President

Phone

(518) 798-3838

Specialties & licenses 2

Addresses

Other names 1

• Joseph C Mihindu Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Carlton Mihindukulasuriya, MD

  • Nephrology Physician
  • Glens Falls, NY
  • NPI 1083771927

  Internal Medicine

  NPD

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1508924283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MURRAY ST",
            "address_2": "PO BOX 2018",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014320",
            "telephone_number": "518-798-3838",
            "fax_number": "518-798-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MURRAY STREET",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012018",
            "telephone_number": "518-798-3838",
            "fax_number": "518-798-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK NEPHROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "MIHINDU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CARLTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-798-3838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1550461",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "1550461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph C Mihindu",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lisa A Adeson, MD FAAP
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• Nephrology Physician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.