NPIMap

Organization Active NPI

Glens Falls Pediatric Consultants, PC

  • Pediatrics Physician
  • Glens Falls, NY
National Provider Identifier
1598720369
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GLENS FALLS PEDIATRIC CONSULTANTS, PC
Practice address
1 Lawrence St Ste 2
Glens Falls, NY 12801-3618
Phone
(518) 798-9985
Fax
(518) 761-7043
NPI assigned
Apr 17, 2006
Last updated
Jul 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Colleen M Bethel
Title
Practice Manager
Phone
(518) 798-9985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

1 Lawrence St Ste 2
Glens Falls, NY 12801-3618

Mailing address

PO Box 141
Glens Falls, NY 12801-0141
Phone (518) 798-9985

Other names 1

  • --None-- Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0164592Glens Falls Pediatric Consultants PC1 Lawrence Street, Glens Falls, NY 12801Certificate of waiverJan 22, 2028

National Provider Directory

National Provider Directory

Locations

1 Lawrence St
Ste 2
Glens Falls, NY 12801
Phone 5187989985 ext. 233

154 Warren St
Glens Falls, NY 12801
Phone (518) 798-9985

4 Carpenter Ln
Saratoga Springs, NY 12866
Phone (518) 583-1221

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1598720369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010141",
            "telephone_number": "518-798-9985",
            "fax_number": "518-761-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 LAWRENCE ST STE 2",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013618",
            "telephone_number": "518-798-9985",
            "fax_number": "518-761-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENS FALLS PEDIATRIC CONSULTANTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "BETHEL",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "518-798-9985"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "--None--",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.