NPIMap

Organization Active NPI

Upstate Physician Services, PC

  • Specialist
  • Troy, NY
National Provider Identifier
1740728013
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
171212063 Issued in NY
Legal business name
UPSTATE PHYSICIAN SERVICES, PC
Practice address
2001 5TH Avenue
Suite 110
Troy, NY 12180
Phone
(518) 687-1960
Fax
(518) 687-1970
NPI assigned
Feb 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Authorized official

Name
Mustafain Meghani, MDNPI 1053540351
Title
Owner
Phone
(518) 687-1960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 171212063 NY Primary

Addresses

Primary practice location

2001 5TH Avenue
Suite 110
Troy, NY 12180

Mailing address

2001 5TH Avenue
Troy, NY 12180
Phone (518) 687-1960

Other names 1

  • New Haven Addiction Services OP Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1740728013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 5TH AVENUE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-687-1960",
            "fax_number": "518-687-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 5TH AVENUE",
            "address_2": "SUITE 110",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-687-1960",
            "fax_number": "518-687-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE PHYSICIAN SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "MEGHANI",
        "authorized_official_first_name": "MUSTAFAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-687-1960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "171212063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Haven Addiction Services OP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 7, 2017; 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.