NPIMap

Organization Active NPI

CTP Newton Medical PC

Doing business as Newton Medical

  • Urgent Care Clinic/Center
  • Latham, NY
National Provider Identifier
1801851829
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CTP NEWTON MEDICAL PC
Doing business as
Newton Medical
Practice address
588 New Loudon Rd
Latham, NY 12110
Phone
(518) 785-2662
Fax
(518) 786-6547
NPI assigned
Apr 20, 2006
Last updated
Jan 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Jillian Manupella
Title
Office Manager
Phone
(518) 785-2662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

588 New Loudon Rd
Latham, NY 12110

Mailing address

588 New Loudon Rd
Latham, NY 12110
Phone (518) 785-2662

Other names 1

  • Newton Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040713000954 NY Part B Supplier - Clinic/Group Practice 1456339639 Receives reassigned benefits from 10 practitioners
Practice locations: Latham, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0706420Newton Medical588 New Loudon Road, Latham, NY 12110Certificate of waiverJul 12, 2028

National Provider Directory

National Provider Directory

Locations

1770 Central Ave
Albany, NY 12205
Phone (518) 400-5886

588 New Loudon Rd
Latham, NY 12110
Phone (518) 785-2662

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1801851829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-785-2662",
            "fax_number": "518-786-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "12110",
            "telephone_number": "518-785-2662",
            "fax_number": "518-786-6547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTP NEWTON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "MANUPELLA",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-785-2662"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newton Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Latham, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.