Organization Active NPI

Upstate Adult Health NP, PLLC

  • Nurse Practitioner
  • Albany, NY
National Provider Identifier
1538977541
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
UPSTATE ADULT HEALTH NP, PLLC
Practice address
325 Northern Blvd
Albany, NY 12204-1001
Phone
(518) 512-7681
NPI assigned
Dec 23, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. Blessing Isiguzo, DNPNPI 1598264426
Title
Nurse Practitioner/Director
Phone
(518) 512-7681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

325 Northern Blvd
Albany, NY 12204-1001

Mailing address

1764 Route 9 Unit 674
Halfmoon, NY 12065-9336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250207000159 NY Part B Supplier - Clinic/Group Practice 0446780340 Receives reassigned benefits from 1 practitioner
Practice locations: Argyle, NY; Albany, NY

National Provider Directory

National Provider Directory

Locations

1764 Route 9
Unit 674
Halfmoon, NY 12065

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1538977541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 ROUTE 9 UNIT 674",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120659336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041001",
            "telephone_number": "518-512-7681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE ADULT HEALTH NP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "ISIGUZO",
        "authorized_official_first_name": "BLESSING",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/DIRECTOR",
        "authorized_official_telephone_number": "518-512-7681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.