Individual provider Active NPI

Stephen J Sills, M.D.

  • Ophthalmology Physician
  • Albany, NY
National Provider Identifier
1659483378
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
090817-1 Issued in NY
Practice address
317 S Manning Blvd
Suite # 210
Albany, NY 12208-1738
Phone
(518) 489-8409
Fax
(518) 482-5162
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 090817-1 NY Primary

Addresses

Primary practice location

317 S Manning Blvd
Suite # 210
Albany, NY 12208-1738

Mailing address

317 S Manning Blvd
Suite # 210
Albany, NY 12208-1738
Phone (518) 489-8409

Other identifiers 1

IdentifierTypeStateIssuer
00515095MedicaidNY

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
090817-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glaucoma Consultants of the Capital Region,PLLC Ophthalmology CurrentSince Jul 1, 2008 Accepting new patients
Ophthalmic Plastic Surgery,PLLC Ophthalmology PastSince Jun 1, 2002 Accepting new patients
Stephen J. Sills, M.D. Ophthalmology Past Accepting new patients

Locations

1240 New Scotland Rd
Ste 201
Slingerlands, NY 12159
Phone (518) 475-7300

15 Vista Blvd
Slingerlands, NY 12159
Phone (518) 262-2540

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659483378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S MANNING BLVD",
            "address_2": "SUITE # 210",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081738",
            "telephone_number": "518-489-8409",
            "fax_number": "518-482-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S MANNING BLVD",
            "address_2": "SUITE # 210",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081738",
            "telephone_number": "518-489-8409",
            "fax_number": "518-482-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILLS",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "090817-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00515095",
            "state": "NY"
        }
    ],
    "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 Jul 8, 2007; 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.