Upstate Center for Martial Arts LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

UPSTATE CENTER FOR MARTIAL ARTS LLC

Practice address

1524 Central Ave Ste 210
Albany, NY 12205-5065

Phone

(518) 728-1672

NPI assigned

Oct 17, 2023

Organization subpart

No

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

Authorized official

Name

George Brown

Title

Chief Executive Officer

Phone

(518) 728-1672

Specialties & licenses 1

Addresses

Tax ID family

Upstate Center for Martial Arts LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Upstate Center for Martial Arts LLC

  • Case Manager/Care Coordinator
  • Albany, NY
  • NPI 1457067001
  NPD tax ID

Locations

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1699557454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 GREEN ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122022010",
            "telephone_number": "518-728-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 CENTRAL AVE STE 210",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122055065",
            "telephone_number": "518-728-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE CENTER FOR MARTIAL ARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "518-728-1672"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie NA Upadhyaya
• Uplifting Health Nurse Practitioner in Psychiatry,PLLC
• Upper Hudson Planned Parenthood Inc.
• Upstate Adult Health NP, PLLC
• Upstate Center for Martial Arts LLC
• Upstate Counseling, LCSW, PLLC
• Upstate Infectious Diseases Associates, LLP
• Upstate Internal Medicine and Pediatrics P C
• Upstate Mental Health Counseling, P.C
• Upstate Neurology Consultants LLP

• Community/Behavioral Health Agency in Albany, NY
• Providers in Albany, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.