Individual provider Active NPI

Laura Maciariello, FNP

  • Family Nurse Practitioner
  • Clifton Park, NY
National Provider Identifier
1730420969
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337898 Issued in NY
Practice address
939 Route 146 Ste 700
Clifton Park, NY 12065-3662
Phone
(518) 383-0891
Fax
(518) 383-1662
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 337898 NY
Family Nurse Practitioner 363LF0000X 283908 MA
Family Nurse Practitioner 363LF0000X 1034940 DC
Family Nurse Practitioner 363LF0000X 337898 NY Primary

Addresses

Primary practice location

939 Route 146 Ste 700
Clifton Park, NY 12065-3662

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700

Other practice location 1

1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone (518) 373-4444

Other practice location 2

2 Empire Dr
Rensselaer, NY 12144-5730
Phone (518) 286-4960

Other practice location 3

79 Vandenburgh Ave
Troy, NY 12180
Phone (518) 286-3000

Other practice location 4

400 Patroon Creek Blvd
Albany, NY 12206-5013
Phone (518) 445-4444

Other practice location 5

377 Church St
Saratoga Springs, NY 12866-8641
Phone (518) 584-4456

Other identifiers 1

IdentifierTypeStateIssuer
03585577MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140109000529 NY Practitioner - Nurse Practitioner 3971742792 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

1783 Route 9
Suite 101
Halfmoon, NY 12065-2467
Phone (518) 371-5437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
283908MAMDPediatrics Physician
1034940DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Nurse Practitioner CurrentSince May 13, 2019 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Nurse Practitioner CurrentSince May 13, 2019 Accepting new patients
Community Care Physicians, PLLC CurrentSince Nov 11, 2024 Accepting new patients
Community Care Physicians, PC PastSince Mar 11, 2025 Accepting new patients

Locations

400 Patroon Creek Blvd
Ste 100
Albany, NY 12206
Phone (518) 445-4444

1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444

939 Route 146
Ste 700
Clifton Park, NY 12065
Phone (518) 383-0891

1783 Route 9
Ste 101
Halfmoon, NY 12065
Phone (518) 881-1091

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

2 Empire Dr
Rensselaer, NY 12144
Phone (518) 286-3990

377 Church St
Saratoga Springs, NY 12866
Phone (518) 203-2582

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

79 Vandenburgh Ave
Troy, NY 12180
Phone (518) 269-4690

Interoperability endpoints

  • Direct secure messaging: lauramaciariello@ccp.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1730420969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146 STE 700",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653662",
            "telephone_number": "518-383-0891",
            "fax_number": "518-383-1662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Tallow Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652807",
            "country_code": "US",
            "telephone_number": "518-373-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Empire Dr",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121445730",
            "country_code": "US",
            "telephone_number": "518-286-4960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 Vandenburgh Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "12180",
            "country_code": "US",
            "telephone_number": "518-286-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Patroon Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122065013",
            "country_code": "US",
            "telephone_number": "518-445-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "377 Church St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128668641",
            "country_code": "US",
            "telephone_number": "518-584-4456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACIARIELLO",
        "first_name": "LAURA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "337898",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "283908",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "1034940",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03585577",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.