NPIMap

Organization Active NPI

Troy Anesthesiologists, PC

  • Anesthesiology Physician
  • Troy, NY
National Provider Identifier
1649218686
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
TROY ANESTHESIOLOGISTS, PC
Practice address
2215 Burdett Avenue
Samaritan Hospital
Troy, NY 12180
Phone
(866) 868-8419
Fax
(845) 790-2675
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Alexander Itenberg, MDNPI 1417997289
Title
Director
Phone
(518) 271-3258

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
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X NY Primary

Addresses

Primary practice location

2215 Burdett Avenue
Samaritan Hospital
Troy, NY 12180

Mailing address

PO Box 3308
Buffalo, NY 14240-3308
Phone (866) 868-8419

Other identifiers 1

IdentifierTypeStateIssuer
01705375MedicaidNY

National Provider Directory

National Provider Directory

Locations

347278 Box
Pittsburgh, PA 15251

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649218686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3308",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142403308",
            "telephone_number": "866-868-8419",
            "fax_number": "845-790-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVENUE",
            "address_2": "SAMARITAN HOSPITAL",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "866-868-8419",
            "fax_number": "845-790-2675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY ANESTHESIOLOGISTS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ITENBERG",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-271-3258",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01705375",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.