NPIMap

Organization Active NPI

Seton Health System

Doing business as Samartian OBGYN

  • Obstetrics & Gynecology Physician
  • Latham, NY
National Provider Identifier
1811447493
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
SETON HEALTH SYSTEM
Doing business as
Samartian OBGYN
Practice address
713 Troy Schenectady Rd
Suite 304
Latham, NY 12110-2490
Phone
(518) 375-4555
Fax
(518) 286-4911
NPI assigned
Oct 7, 2016
Last updated
Oct 7, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
SETON HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Authorized official

Name
Daniel Kochie
Title
Cfo
Phone
(518) 268-5000

Specialties & licenses 1

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

Addresses

Primary practice location

713 Troy Schenectady Rd
Suite 304
Latham, NY 12110-2490

Mailing address

PO Box 14890
SPHP Payer Credentialing
Albany, NY 12212-4890
Phone (518) 591-1121

Other names 1

  • Samartian OBGYN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seton Health System Inc20 organizations share this tax ID, including this one
Part of
Seton Health System Inc

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Practitioners & affiliated clinicians

Practitioners 1

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": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475798400000",
    "number": "1811447493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "address_2": "SPHP PAYER CREDENTIALING",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-591-1121",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 TROY SCHENECTADY RD",
            "address_2": "SUITE 304",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102490",
            "telephone_number": "518-375-4555",
            "fax_number": "518-286-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETON HEALTH SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SETON HEALTH SYSTEM",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A",
        "authorized_official_last_name": "KOCHIE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-268-5000"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samartian OBGYN",
            "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 Oct 7, 2016; 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.