NPIMap

Organization Active NPI

Endocrinology Troy

  • Endocrinology, Diabetes & Metabolism Physician
  • Troy, NY
National Provider Identifier
1740673979
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ENDOCRINOLOGY TROY
Practice address
1304 Park Blvd
Troy, NY 12180-1403
Phone
(518) 273-3755
Fax
(518) 273-6865
NPI assigned
Mar 12, 2015
Last updated
Mar 12, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
CAPITALCARE MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Diane E Bellanger
Title
Credentialing Coordinator
Phone
(518) 452-1337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X NU Primary

Addresses

Primary practice location

1304 Park Blvd
Troy, NY 12180-1403

Mailing address

1304 Park Blvd
Troy, NY 12180-1403
Phone (518) 273-3755

National Provider Directory

National Provider Directory
Tax ID family
Maplewood Manor Saratog7 organizations share this tax ID, including this one
Part of
Maplewood Manor Saratog

Other organizations with this tax ID 6

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": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1740673979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 PARK BLVD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801403",
            "telephone_number": "518-273-3755",
            "fax_number": "518-273-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 PARK BLVD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801403",
            "telephone_number": "518-273-3755",
            "fax_number": "518-273-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY TROY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITALCARE MEDICAL GROUP, LLC",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "BELLANGER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "518-452-1337"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 12, 2015; 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.