Organization Active NPI

Robert Z Dadekian Troy Arthritis Care

  • Rheumatology Physician
  • Troy, NY
National Provider Identifier
1689886301
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
181375 Issued in NY
Legal business name
ROBERT Z DADEKIAN TROY ARTHRITIS CARE
Practice address
1302 Park Blvd
Troy, NY 12180-1403
Phone
(518) 274-0044
Fax
(518) 274-0064
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Robert Zaven Dadekian, MD
Title
Physician
Phone
(518) 274-0044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 181375 NY Primary

Addresses

Primary practice location

1302 Park Blvd
Troy, NY 12180-1403

Mailing address

1302 Park Blvd
Troy, NY 12180-1403
Phone (518) 274-0044

Other identifiers 2

IdentifierTypeStateIssuer
67F5810OtherNYEMPIRE BC BS
36131OtherNYMVP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1689886301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 PARK BLVD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801403",
            "telephone_number": "518-274-0044",
            "fax_number": "518-274-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 PARK BLVD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801403",
            "telephone_number": "518-274-0044",
            "fax_number": "518-274-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT Z DADEKIAN TROY ARTHRITIS CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "DADEKIAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ZAVEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "518-274-0044",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "181375",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC BS",
            "identifier": "67F5810",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "36131",
            "state": "NY"
        }
    ],
    "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 Apr 8, 2010; 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.