Individual provider Active NPI

Taylor Clara Fadrowski, DNP

  • Family Nurse Practitioner
  • Amsterdam, NY
National Provider Identifier
1801627179
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354983 Issued in NY
Practice address
427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone
(315) 525-8826
NPI assigned
Aug 9, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 354983 NY Primary

Addresses

Primary practice location

427 Guy Park Ave
Amsterdam, NY 12010-1064

Mailing address

425 Guy Park Ave Ste 102
Amsterdam, NY 12010-1044
Phone (518) 841-7432

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
I20240924002686 NY Practitioner - Nurse Practitioner 2062953524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

380 Guy Park Ave
Amsterdam, NY 12010-1065
Phone (518) 770-7830

425 Guy Park Ave
Amsterdam, NY 12010-1043
Phone (518) 842-0373

700 S Perry St
Johnstown, NY 12095-3213
Phone (518) 762-3161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
354983NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Healthcare CurrentSince Sep 3, 2024 Accepting new patients
St. Mary's Healthcare CurrentSince Sep 3, 2024 Accepting new patients
St. Mary's Healthcare PastSince Dec 8, 2024 Accepting new patients

Locations

119 Holland Circle Dr
Amsterdam, NY 12010
Phone (518) 843-4522

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

425 Guy Park Ave
Ste 100
Amsterdam, NY 12010
Phone (518) 770-7830

425 Guy Park Ave
Ste 102
Amsterdam, NY 12010
Phone (518) 843-1240

425 Guy Park Ave
Ste 201
Amsterdam, NY 12010
Phone (518) 842-2020

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1801627179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 GUY PARK AVE STE 102",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101044",
            "telephone_number": "518-841-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101064",
            "telephone_number": "315-525-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FADROWSKI",
        "first_name": "TAYLOR",
        "middle_name": "CLARA",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.