Organization Active NPI

Saratoga Partners North, LLC

  • Orthopaedic Surgery Physician
  • Malta, NY
National Provider Identifier
1679174841
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SARATOGA PARTNERS NORTH, LLC
Practice address
4 Medical Park Drive
Malta, NY 12020-1220
Phone
(518) 438-7638
Fax
(518) 438-7638
NPI assigned
Nov 4, 2020
Organization subpart
Yes
Parent organization
SARATOGA PARTNERS NORTH, LLCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Dr. Jared Roberts, MDNPI 1811157324
Title
Medical Director
Phone
(518) 438-7638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2200935Center for Advanced Ambulatory Surgery4 Medical Park Dr, Malta, NY 12020Certificate of waiverMar 26, 2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20210329002191 NY Part B Supplier - Ambulatory Surgical Center 6507273067 Practice locations: Malta, NY

National Provider Directory

National Provider Directory
Part of
Saratoga Partners North LLC

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

4 Medical Park Drive
Malta, NY 12020-1220

Mailing address

1367 Washington Ave Ste 401
Albany, NY 12206-1043
Phone (518) 438-7638

Other names 1

NPPES NPI Registry
  • Center for Advanced Ambulatory Surgery Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 4, 2020.

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604448000000",
    "number": "1679174841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE STE 401",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061043",
            "telephone_number": "518-438-7638",
            "fax_number": "518-438-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 MEDICAL PARK DRIVE",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120201220",
            "telephone_number": "518-438-7638",
            "fax_number": "518-438-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA PARTNERS NORTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARATOGA PARTNERS NORTH, LLC",
        "enumeration_date": "2020-11-04",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "518-438-7638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Advanced Ambulatory Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.