Active NPI
William a Grattan MD PC
- Pediatrics Physician
- Cohoes, NY
National Provider Identifier
1750476503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 076202
- Legal business name
- WILLIAM A GRATTAN MD PC
- Practice address
- 55 Mohawk Street
Suite 101
Cohoes, NY 12047 - Phone
- (518) 233-9500
- Fax
- (518) 235-4827
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Anthony Gratton, MD
- Title
- President Pediatrician
- Phone
- (518) 233-9500
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 076202 | NY | Primary |
| Nurse Practitioner | 363L00000X | F380828 | NY |
Addresses
Primary practice location
55 Mohawk Street
Suite 101
Cohoes, NY 12047
Mailing address
55 Mohawk Street
Suite 101
Cohoes, NY 12047
Phone (518) 233-9500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00516647 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352419200000",
"number": "1750476503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MOHAWK STREET",
"address_2": "SUITE 101",
"city": "COHOES",
"state": "NY",
"postal_code": "12047",
"telephone_number": "518-233-9500",
"fax_number": "518-235-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MOHAWK STREET",
"address_2": "SUITE 101",
"city": "COHOES",
"state": "NY",
"postal_code": "12047",
"telephone_number": "518-233-9500",
"fax_number": "518-235-4827"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM A GRATTAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2012-11-09",
"status": "A",
"authorized_official_last_name": "GRATTON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT PEDIATRICIAN",
"authorized_official_telephone_number": "518-233-9500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "076202",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F380828",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00516647",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cohoes, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.