Active NPI
Julie Purcell
- Specialist
- Delmar, NY
National Provider Identifier
1649892316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1328424
- Practice address
- 2 Bethlehem CT
Delmar, NY 12054-1306 - Phone
- (518) 478-0722
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1328424 | NY | Primary |
Addresses
Primary practice location
2 Bethlehem CT
Delmar, NY 12054-1306
Mailing address
2 Bethlehem CT
Delmar, NY 12054-1306
Phone (518) 478-0722
Other practice location 1
158 S Main Ave
Albany, NY 12208-2418
Phone (518) 269-9547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1328424 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | albany |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1328424 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Early Childhood Learning Center, Inc. | Past | Accepting new patients | |
| Circle of Friends | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Delmar, NY
- NPI 1568776102
-
- Early Intervention Provider Agency
- Ravena, NY
- NPI 1336392216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1649892316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BETHLEHEM CT",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541306",
"telephone_number": "518-478-0722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 BETHLEHEM CT",
"city": "DELMAR",
"state": "NY",
"postal_code": "120541306",
"telephone_number": "518-478-0722"
}
],
"practiceLocations": [
{
"address_1": "158 S Main Ave",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122082418",
"country_code": "US",
"telephone_number": "518-269-9547",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURCELL",
"first_name": "JULIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-15",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "1328424",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1328424",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "albany",
"affiliation": "N",
"endpointDescription": "health",
"address_1": "2 Bethlehem Ct",
"city": "Delmar",
"state": "NY",
"country_code": "US",
"postal_code": "120541306",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Delmar, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.