NPIMap

Organization Active NPI

Women's Cancer Care Associates, LLC

  • Surgical Oncology Physician
  • Albany, NY
National Provider Identifier
1689713067
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
1935761 Issued in NY
Legal business name
WOMEN'S CANCER CARE ASSOCIATES, LLC
Practice address
319 S Manning Blvd
Suite 301
Albany, NY 12208-1742
Phone
(518) 281-6486
NPI assigned
Feb 5, 2007
Last updated
Mar 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Authorized official

Name
Dr. Patrick Timmins, MDNPI 1942297080
Title
MD Senior Partner
Phone
(518) 458-1390

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X 1935761 NY Primary

Addresses

Primary practice location

319 S Manning Blvd
Suite 301
Albany, NY 12208-1742

Mailing address

319 S Manning Blvd
Suite 301
Albany, NY 12208-1742
Phone (518) 281-6486

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070705000213 NY Part B Supplier - Clinic/Group Practice 9436259454 Receives reassigned benefits from 10 practitioners
Practice locations: Albany, NY; Poughkeepsie, NY

National Provider Directory

National Provider Directory

Locations

7 Fox St
Ste 201
Poughkeepsie, NY 12601
Phone (845) 431-6811

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709683200000",
    "number": "1689713067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD",
            "address_2": "SUITE 301",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081742",
            "telephone_number": "518-281-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD",
            "address_2": "SUITE 301",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081742",
            "telephone_number": "518-281-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S CANCER CARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A",
        "authorized_official_last_name": "TIMMINS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MD SENIOR PARTNER",
        "authorized_official_telephone_number": "518-458-1390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "1935761",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.