Organization Active NPI

Kari W Bovenzi Dba Genesis Pediatrics

  • Pediatrics Physician
  • Albany, NY
National Provider Identifier
1629252150
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
191281 Issued in NY
Legal business name
KARI W BOVENZI DBA GENESIS PEDIATRICS
Practice address
638 Western Ave
Albany, NY 12203-1830
Phone
(518) 489-6822
Fax
(518) 489-4040
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Kari Bovenzi, M.D.NPI 1902907785
Title
Owner
Phone
(518) 489-6822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 191281 NY Primary

Addresses

Primary practice location

638 Western Ave
Albany, NY 12203-1830

Mailing address

638 Western Ave
Albany, NY 12203-1830
Phone (518) 489-6822

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
33D0930803Genesis Pediatrics638 Western Avenue, Albany, NY 12203Certificate of waiverJan 23, 2027

National Provider Directory

National Provider Directory

Locations

638 Western Ave
Albany, NY 12203
Phone (518) 489-6822

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": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1629252150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031830",
            "telephone_number": "518-489-6822",
            "fax_number": "518-489-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122031830",
            "telephone_number": "518-489-6822",
            "fax_number": "518-489-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARI W BOVENZI DBA GENESIS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "BOVENZI",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-489-6822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "191281",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 19, 2007; 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.