Individual provider Active NPI

Nicholas Kulbida, M.D.

  • Obstetrics & Gynecology Physician
  • Albany, NY
National Provider Identifier
1801816665
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
187848 Issued in NY
Practice address
24 Computer Dr W
Albany, NY 12205-1612
Phone
(518) 689-7548
Fax
(518) 489-9431
NPI assigned
Jul 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 187848 NY Primary

Addresses

Primary practice location

24 Computer Dr W
Albany, NY 12205-1612

Mailing address

1043 Lamplighter Rd
Niskayuna, NY 12309-1161

Other identifiers 1

IdentifierTypeStateIssuer
02053932MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000402 NY Practitioner - Obstetrics/Gynecology 4385824218 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
187848NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carenet Medical Group, PC Obstetrics & Gynecology CurrentSince May 1, 2024 Accepting new patients
Community Care Physicians, PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2022 Accepting new patients
McGinnis Womens Medical Care, PC Obstetrics & Gynecology Past Accepting new patients
Ellis Hospital Past Accepting new patients
Community Care Physicians, PC Obstetrics & Gynecology PastSince Feb 18, 2024 Accepting new patients

Locations

6 Wellness Way
Ste 108
Latham, NY 12110
Phone (518) 370-7937

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 237-7363

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

2123 River Rd
Schenectady, NY 12309
Phone (518) 381-1121

700 McClellan St
Ste 101
Schenectady, NY 12304
Phone (518) 374-9153

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801816665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 LAMPLIGHTER RD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123091161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COMPUTER DR W",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051612",
            "telephone_number": "518-689-7548",
            "fax_number": "518-489-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULBIDA",
        "first_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "187848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02053932",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.