Individual provider Active NPI

Nicole Anoush Saglamer, MD

  • Pediatrics Physician
  • Albany, NY
National Provider Identifier
1750840500
Registry record updated Aug 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
318426 Issued in NY
Practice address
47 New Scotland Ave Dept of
Albany, NY 12208-3412
Phone
(518) 262-5588
Fax
(518) 262-5589
NPI assigned
Mar 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 318426 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X 64216 NY

Addresses

Primary practice location

47 New Scotland Ave Dept of
Albany, NY 12208-3412

Mailing address

47 New Scotland Ave Dept of
Albany, NY 12208-3412
Phone (518) 262-5588

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825001193 NY Practitioner - Other (Physician)Practitioner - Pediatric Medicine 9830432020 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
318426NYMDPediatrics Physician
64216NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Pediatrics CurrentSince Jul 25, 2022 Accepting new patients
Albany Medical College CurrentSince Jul 25, 2022 Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2023 Accepting new patients
Albany Medical College Pediatrics Current Accepting new patients
Albany Medical College Pediatrics CurrentSince Jul 25, 2022 Accepting new patients
Albany Medical College Current Accepting new patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2023 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Organizations & group practices 8

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": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661558400000",
    "number": "1750840500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE DEPT OF",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5588",
            "fax_number": "518-262-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE DEPT OF",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5588",
            "fax_number": "518-262-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGLAMER",
        "first_name": "NICOLE",
        "middle_name": "ANOUSH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-19",
        "last_updated": "2022-08-27",
        "certification_date": "2022-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "318426",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "64216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.