Frederick W Stafford III

Primary specialty

Assistive Technology Practitioner Rehabilitation CounselorTaxonomy code 225CA2400X

Practice address

310 Washington Ave
Albany, NY 12203-1017

Phone

(518) 463-1211

NPI assigned

Nov 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1528604741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "681 FARM TO MARKET RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121809054",
            "telephone_number": "518-512-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 WASHINGTON AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031017",
            "telephone_number": "518-463-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "FREDERICK",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "naba-vision.org",
            "affiliation": "N",
            "address_1": "310 Washington Ave",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122031017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katelyn Rose Stack, FNP-BC
• Kenneth L. Stack, O.D.
• Margaret L Stack, PHARM.D.
• Emily Stadnik
• Laura Ellen Staff, MD
• Shana Elayne Stage
• Amanda Michelle Stahl, M.D.
• Brandon Tommy Lee Stahl
• Heather Ann Stahura, MD
• Judy Paulette Staiger, CRNA

• Rehabilitation Counselor in Albany, NY
• Providers in Albany, NY by specialty
• Rehabilitation Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.