Active NPI
Karl Martin Ehrensbeck, M.S.
- Specialist
- Troy, NY
National Provider Identifier
1669726485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 597 3Rd Ave
Troy, NY 12182-2509 - Phone
- (518) 426-9565
- NPI assigned
- Oct 31, 2012
- Sex
- Male
- 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 | NY | Primary |
Addresses
Primary practice location
597 3Rd Ave
Troy, NY 12182-2509
Mailing address
27 Beacon Rd
Glenmont, NY 12077-3310
Phone (518) 426-9565
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1669726485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 BEACON RD",
"city": "GLENMONT",
"state": "NY",
"postal_code": "120773310",
"telephone_number": "518-426-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "597 3RD AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121822509",
"telephone_number": "518-426-9565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EHRENSBECK",
"first_name": "KARL",
"middle_name": "MARTIN",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 31, 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.