NPIMap

Organization Active NPI

Glens Falls Hospital Inc

  • Facial Plastic Surgery Physician
  • Glens Falls, NY
National Provider Identifier
1518215565
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
Legal business name
GLENS FALLS HOSPITAL INC
Practice address
2 Broad Street PLZ
Adirondack ENT
Glens Falls, NY 12801-4363
Phone
(518) 926-1380
Fax
(518) 926-1385
NPI assigned
Aug 23, 2012
Last updated
Mar 25, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
GLENS FALLS HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Authorized official

Name
Paul Scimeca
Title
Interim President/Ceo
Phone
(518) 926-5902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X NU Primary

Addresses

Primary practice location

2 Broad Street PLZ
Adirondack ENT
Glens Falls, NY 12801-4363

Mailing address

100 Park Street
Glens Falls Hospital - Credentialing
Glens Falls, NY 12801-4413
Phone (518) 926-5924

Other names 1

  • Adirondack ENT Other name

National Provider Directory

National Provider Directory
Tax ID family
Adirndack Medical Servi24 organizations share this tax ID, including this one
Part of
Adirndack Medical Servi

Other organizations with this tax ID 23

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

View all 23

Locations

2 Broad Street Plz
Glens Falls, NY 12801
Phone (518) 793-0519

NPI Registry JSON

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1518215565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROAD STREET PLZ",
            "address_2": "ADIRONDACK ENT",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014363",
            "telephone_number": "518-926-1380",
            "fax_number": "518-926-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENS FALLS HOSPITAL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLENS FALLS HOSPITAL INC",
        "enumeration_date": "2012-08-23",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "SCIMECA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "INTERIM PRESIDENT/CEO",
        "authorized_official_telephone_number": "518-926-5902"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adirondack ENT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adirondack ENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.