Individual provider Active NPI

Alison Michelle Kortz, RPA C

  • Dermatology Physician
  • Schenectady, NY
National Provider Identifier
1619966264
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0068271 Issued in NY
Practice address
461 Clinton St Ext Ste 1
Schenectady, NY 12305-2425
Phone
(518) 374-7222
NPI assigned
Oct 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0068271 NY Primary

Addresses

Primary practice location

461 Clinton St Ext Ste 1
Schenectady, NY 12305-2425

Mailing address

1547 Columbia Tpke
Castleton, NY 12033-9543
Phone (518) 479-4156

Other practice location 1

1547 Columbia Tpke
Castleton, NY 12033-9543
Phone (518) 479-4156

Other names 1

  • Kristen M Poskanzer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041022000781 NY Practitioner - Physician Assistant 7911968912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
State University of New York at Stony Brook, School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Latham Dermatology PLLCGroup PAC ID 5991056228, 5 clinicians

Practice addresses (Care Compare)

711 Troy Schenectady Rd
Suite 208
Latham, NY 12110-2461
Phone (518) 783-8780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006827NYMDContractor
0068271NYMDDermatology Physician
006827-1NYMDEarly Intervention Provider Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Region Orthopaedic Associates, PC Past Accepting new patients
Schenectady Dermatology, PC Dermatology PastSince Jun 16, 2006 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1619966264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1547 COLUMBIA TPKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339543",
            "telephone_number": "518-479-4156",
            "fax_number": "518-479-3794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 CLINTON ST EXT STE 1",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123052425",
            "telephone_number": "518-374-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1547 Columbia Tpke",
            "address_purpose": "LOCATION",
            "city": "Castleton",
            "state": "NY",
            "postal_code": "120339543",
            "country_code": "US",
            "telephone_number": "518-479-4156",
            "fax_number": "518-479-3794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORTZ",
        "first_name": "ALISON",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "RPA C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "0068271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "POSKANZER",
            "middle_name": "M",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.