Active NPI
Center for Family Practice
- Family Medicine Physician
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1356241
- Legal business name
- CENTER FOR FAMILY PRACTICE
- Practice address
- 8 Century Hill Drive
Latham, NY 12110 - Phone
- (518) 783-7173
- Fax
- (518) 783-5426
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gerald J Hausler, DO
- Title
- Business Practice Owner
- Phone
- (518) 783-7173
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1356241 | NY | Primary |
Addresses
Primary practice location
8 Century Hill Drive
Latham, NY 12110
Mailing address
8 Century Hill Drive
Latham, NY 12110
Phone (518) 783-7173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060112000466 | NY | Part B Supplier - Clinic/Group Practice | 8628091972 |
Receives reassigned benefits from 5 practitioners Practice locations: Latham, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0968135 | Center for Family Practice | Provider-performed microscopy | Dec 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
8 Century Hill Dr
Ste 1
Latham, NY 12110
Phone (518) 783-7173
8 Century Hill Dr
Latham, NY 12110
Phone (518) 783-7173
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Albany, NY
- NPI 1629413075
Family Medicine, NY
-
- Physician Assistant
- Latham, NY
- NPI 1023190683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453680000000",
"number": "1801969043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CENTURY HILL DRIVE",
"city": "LATHAM",
"state": "NY",
"postal_code": "12110",
"telephone_number": "518-783-7173",
"fax_number": "518-783-5426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CENTURY HILL DRIVE",
"city": "LATHAM",
"state": "NY",
"postal_code": "12110",
"telephone_number": "518-783-7173",
"fax_number": "518-783-5426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR FAMILY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-16",
"last_updated": "2016-01-25",
"status": "A",
"authorized_official_last_name": "HAUSLER",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BUSINESS PRACTICE OWNER",
"authorized_official_telephone_number": "518-783-7173",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NY",
"license": "1356241",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 25, 2016; 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.