Active NPI
Paul D Damico, CRNA
- Certified Registered Nurse Anesthetist
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 469255-1
- Practice address
- 1201 Nott St
Suite 106
Schenectady, NY 12308-2589 - Phone
- (518) 374-3123
- Fax
- (518) 374-9711
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 469255-1 | NY | Primary |
Addresses
Primary practice location
1201 Nott St
Suite 106
Schenectady, NY 12308-2589
Mailing address
1201 Nott St
Suite 106
Schenectady, NY 12308-2589
Phone (518) 374-3123
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9704569 | Other | GHI | |
| BB6650 | Other | FIDELIS MEDICARE | |
| 000496079001 | Other | BLUE SHIELD NENY | |
| R6B52 | Other | EMPIRE BLUE CROSS | |
| X00000 | Other | AMERICAN PROGRESSIVE TODA | |
| 10002421 | Other | CDPHP | |
| 469255-1 | Other | TRICARE NORTH REGION | |
| 4123058 | Other | MVP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000
Hospital & facility affiliations
- Ellis Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.71 of 100
- Quality
- 30.53
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 469255-1 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Schenectady Anesthesia Associates, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gastrointestinal Care of Long Island PLLC | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Nyc Medical of Queens PC | Past | Accepting new patients |
Locations
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483
47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300
47 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3773
16 Maxwell Dr
Clifton Park, NY 12065
Phone (518) 557-1800
7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013
187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523
1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705
211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
1201 Nott St
Ste 106
Schenectady, NY 12308
Phone (518) 374-3123
600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000
2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400
2200 Burdett Ave
Ste 201
Troy, NY 12180
Phone (518) 272-0234
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CAEACD
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Schenectady, NY
- NPI 1457352411
Nurse Anesthetist, Certified Registered
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
Nurse Anesthetist, Certified Registered
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
-
- Anesthesiology Physician
- Albany, NY
- NPI 1841226594
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Jackson Heights, NY
- NPI 1144854811
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1528069010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 NOTT ST",
"address_2": "SUITE 106",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082589",
"telephone_number": "518-374-3123",
"fax_number": "518-374-9711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NOTT ST",
"address_2": "SUITE 106",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082589",
"telephone_number": "518-374-3123",
"fax_number": "518-374-9711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAMICO",
"first_name": "PAUL",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "469255-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "9704569",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS MEDICARE",
"identifier": "BB6650",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD NENY",
"identifier": "000496079001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "R6B52",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN PROGRESSIVE TODA",
"identifier": "X00000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10002421",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE NORTH REGION",
"identifier": "469255-1",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "4123058",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.