Organization Active NPI

Adirondack Medical Center

  • General Acute Care Hospital
  • Tupper Lake, NY
National Provider Identifier
1679698872
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
2255A2300X Issued in NY
Legal business name
ADIRONDACK MEDICAL CENTER
Practice address
47 Park St
Suite #1
Tupper Lake, NY 12986-1616
Phone
(518) 359-2479
NPI assigned
Mar 20, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Ms. Lisa Ann Muscatello, ATC
Title
Certified Athletic Trainer
Phone
(518) 359-2479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2255A2300X NY Primary

Addresses

Primary practice location

47 Park St
Suite #1
Tupper Lake, NY 12986-1616

Mailing address

254 State Route 86
Paul Smiths, NY 12970-1801
Phone (518) 327-5058

National Provider Directory

National Provider Directory

Locations

47 Park St
Ste 1
Tupper Lake, NY 12986
Phone (518) 359-2479

7 Stetson Rd
#101
Tupper Lake, NY 12986

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1679698872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 STATE ROUTE 86",
            "city": "PAUL SMITHS",
            "state": "NY",
            "postal_code": "129701801",
            "telephone_number": "518-327-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 PARK ST",
            "address_2": "SUITE #1",
            "city": "TUPPER LAKE",
            "state": "NY",
            "postal_code": "129861616",
            "telephone_number": "518-359-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "MUSCATELLO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CERTIFIED ATHLETIC TRAINER",
        "authorized_official_telephone_number": "518-359-2479",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "2255A2300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupper Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.