Organization Active NPI

Apple Country Family Medicine, P.C.

  • Family Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1689760787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
148702 Issued in NY
Legal business name
APPLE COUNTRY FAMILY MEDICINE, P.C.
Practice address
40 New York Rd
Plattsburgh, NY 12903-3981
Phone
(518) 563-2526
Fax
(518) 563-2721
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
James L Delucas, M.D.NPI 1518063726
Title
President
Phone
(518) 563-2526

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 148702 NY Primary

Addresses

Primary practice location

40 New York Rd
Plattsburgh, NY 12903-3981

Mailing address

PO Box 978
Peru, NY 12972-0978
Phone (518) 563-2526

National Provider Directory

National Provider Directory

Locations

40 New York Rd
Plattsburgh, NY 12903
Phone (518) 563-2526

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689760787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 978",
            "city": "PERU",
            "state": "NY",
            "postal_code": "129720978",
            "telephone_number": "518-563-2526",
            "fax_number": "516-563-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NEW YORK RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129033981",
            "telephone_number": "518-563-2526",
            "fax_number": "518-563-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE COUNTRY FAMILY MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELUCAS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-563-2526",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "148702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.