Individual provider Active NPI

Samuel John Halajian, PA-C

  • Medical Physician Assistant
  • Saratoga Springs, NY
National Provider Identifier
1538726229
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
024547 Issued in NY
Practice address
24 Hamilton St
Saratoga Springs, NY 12866-4226
Phone
(518) 886-5600
NPI assigned
May 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 024547 NY Primary

Addresses

Primary practice location

24 Hamilton St
Saratoga Springs, NY 12866-4226

Mailing address

24 Hamilton St
Saratoga Springs, NY 12866-4226
Phone (518) 886-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200131001199 NY Practitioner - Physician Assistant 0941636443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

24 Hamilton St
Saratoga Springs, NY 12866-4226
Phone (518) 886-5800

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
024547NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Feb 15, 2021 Accepting new patients
Saratoga Hospital CurrentSince Feb 15, 2021 Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600

Interoperability endpoints

  • Direct secure messaging: shalajian99280@albanymed.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1538726229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HAMILTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664226",
            "telephone_number": "518-886-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HAMILTON ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128664226",
            "telephone_number": "518-886-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALAJIAN",
        "first_name": "SAMUEL",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "024547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.