NPIMap

Organization Active NPI

Saratoga Care Family Health Centers, Inc.

  • Family Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1619962404
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SARATOGA CARE FAMILY HEALTH CENTERS, INC.
Practice address
119 Lawrence St
Saratoga Springs, NY 12866-1346
Phone
(518) 584-7361
Fax
(518) 584-7930
NPI assigned
Sep 17, 2005
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Terry Ross
Title
Business Office Coordinator
Phone
(518) 580-2022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

119 Lawrence St
Saratoga Springs, NY 12866-1346

Mailing address

201 Church St
Saratoga Springs, NY 12866-1009
Phone (518) 580-2022

Other identifiers 1

IdentifierTypeStateIssuer
00697301MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1126915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1619962404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661009",
            "telephone_number": "518-580-2022",
            "fax_number": "518-584-0466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 LAWRENCE ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661346",
            "telephone_number": "518-584-7361",
            "fax_number": "518-584-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA CARE FAMILY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-17",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "BUSINESS OFFICE COORDINATOR",
        "authorized_official_telephone_number": "518-580-2022"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00697301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.