Organization Active NPI

Schenectady Surgical Care Associates PC

  • Surgery Physician
  • Schenectady, NY
National Provider Identifier
1619078334
Registry record updated Jun 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SCHENECTADY SURGICAL CARE ASSOCIATES PC
Practice address
700 McClellan St
Suite 205
Schenectady, NY 12304-1019
Phone
(518) 377-6429
Fax
(518) 377-1291
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2011

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

Authorized official

Name
Raphy R Rebanal, M.D.
Title
President
Phone
(518) 377-6429

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

700 McClellan St
Suite 205
Schenectady, NY 12304-1019

Mailing address

700 McClellan St
Suite 205
Schenectady, NY 12304-1019
Phone (518) 377-6429

National Provider Directory

National Provider Directory

Locations

700 McClellan St
Ste 205
Schenectady, NY 12304
Phone (518) 377-6429

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307491200000",
    "number": "1619078334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MCCLELLAN ST",
            "address_2": "SUITE 205",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041019",
            "telephone_number": "518-377-6429",
            "fax_number": "518-377-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MCCLELLAN ST",
            "address_2": "SUITE 205",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041019",
            "telephone_number": "518-377-6429",
            "fax_number": "518-377-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHENECTADY SURGICAL CARE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-06-08",
        "status": "A",
        "authorized_official_last_name": "REBANAL",
        "authorized_official_first_name": "RAPHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-377-6429",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; 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.