Hudson Mohawk Pediatrics

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

178911 Issued in NY

Legal business name

HUDSON MOHAWK PEDIATRICS

Practice address

813 Saratoga Road
Ballston Spa, NY 12020

Phone

(518) 899-4133

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Gayle Buckley

Title

Owner

Phone

(518) 899-4133

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1659636231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 SARATOGA ROAD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-899-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 SARATOGA ROAD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "12020",
            "telephone_number": "518-899-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON MOHAWK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-899-4133"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "178911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coleman Hinman, PHARMD
• Darra Lyn Hotopp, REGISTERED NURSE
• Erika Mae Hover, CCC-SLP
• Allison P. Howe, LMHC
• Patricia A Huber Villano, LCSW R
• Kathleen Hughes, LPN
• Molly Insogna, BSW CASAC
• Kathleen Mary Jacko
• Patty S Jackson, LPN
• James P. Reynolds, DDS, PLLC

• General Acute Care Hospital in Ballston Spa, NY
• Providers in Ballston Spa, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.