Upstate Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

UPSTATE MEDICAL GROUP PC

Practice address

2231 Burdett Ave
Suite 120
Troy, NY 12180

Phone

(518) 237-9708

NPI assigned

Apr 28, 2006

Last updated

Jun 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony Troitino, MDNPI 1245289552

Title

President

Phone

(518) 237-9708

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 2

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.

• Anthony Troitino, M.D.

  • Internal Medicine Physician
  • Port St Lucie, FL
  • NPI 1245289552
  NPD (past) Authorized official
• Eric Gross, MD

  • Internal Medicine Physician
  • Troy, NY
  • NPI 1194783852
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1801853122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 BURDETT AVE",
            "address_2": "SUITE 120",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-237-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 BURDETT AVE",
            "address_2": "SUITE 120",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-237-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "TROITINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-237-9708",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CH8587",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "CH8587",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "8644",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "8644",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unity House of Troy Inc
• Unity House of Troy, Inc.
• Upstate Empire Pathology PLLC
• Upstate Gastroenterology Associates, PC
• Upstate Medical Group
• Upstate Physician Services, PC
• Upstate Physician Services, PC
• Rose Urkevich, RD, CDN
• Dino Joel Valentini, DPM
• Maximo B. Valero Jr., MD

• Internal Medicine Physician in Troy, NY
• Providers in Troy, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.