NPIMap

Organization Active NPI

Saratoga Regional Medical , P.C

  • Primary Care Clinic/Center
  • Saratoga Springs, NY
National Provider Identifier
1699349266
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SARATOGA REGIONAL MEDICAL , P.C
Practice address
15 Maple Dell Ste 1
Saratoga Springs, NY 12866-2953
Phone
(518) 886-5112
Fax
(518) 886-5880
NPI assigned
May 18, 2021
Organization subpart
Yes
Parent organization
SARATOGA REGIONAL MEDICAL , P.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Kathleen Stahura
Title
Director
Phone
(518) 583-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

15 Maple Dell Ste 1
Saratoga Springs, NY 12866-2953

Mailing address

PO Box 412655
Boston, MA 02241-2655

Other names 1

  • SARATOGA HOSPITAL PRIMARY CARE-SARATOGA Other name

National Provider Directory

National Provider Directory
Tax ID family
Saratoga Regional Medical2 organizations share this tax ID, including this one
Part of
Saratoga Regional Medical

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1699349266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412655",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAPLE DELL STE 1",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662953",
            "telephone_number": "518-886-5112",
            "fax_number": "518-886-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA REGIONAL MEDICAL , P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARATOGA REGIONAL MEDICAL , P.C",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "STAHURA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-583-8346"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARATOGA HOSPITAL PRIMARY CARE-SARATOGA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saratoga Springs, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.