Organization Active NPI

Upstate Infectious Diseases Associates, LLP

  • Infectious Disease Physician
  • Albany, NY
National Provider Identifier
1568492247
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
181447 Issued in NY
Legal business name
UPSTATE INFECTIOUS DISEASES ASSOCIATES, LLP
Practice address
404 New Scotland Ave
Albany, NY 12208-2725
Phone
(518) 435-0662
Fax
(518) 435-0664
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Authorized official

Name
Gina M Kabrehl
Title
Practice Manager
Phone
(518) 435-0662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 181447 NY Primary

Addresses

Primary practice location

404 New Scotland Ave
Albany, NY 12208-2725

Mailing address

404 New Scotland Ave
Albany, NY 12208-2725
Phone (518) 435-0662

Other identifiers 1

IdentifierTypeStateIssuer
2034OtherNYCDPHP

National Provider Directory

National Provider Directory

Locations

567 New Scotland Ave
Albany, NY 12208
Phone (518) 435-0662

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1568492247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082725",
            "telephone_number": "518-435-0662",
            "fax_number": "518-435-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082725",
            "telephone_number": "518-435-0662",
            "fax_number": "518-435-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE INFECTIOUS DISEASES ASSOCIATES, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "KABREHL",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "518-435-0662"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "181447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "2034",
            "state": "NY"
        }
    ],
    "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 Sep 16, 2014; 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.