Newtonville Pediatrics & Internal Medicine

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

195064 Issued in NY

Legal business name

NEWTONVILLE PEDIATRICS & INTERNAL MEDICINE

Practice address

564 New Loudon Rd
Latham, NY 12110-5336

Phone

(518) 783-1445

Fax

(518) 783-4622

NPI assigned

Oct 16, 2006

Last updated

Aug 22, 2020By 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

Dr. Joanne Marie Fogarty, MDNPI 1639269954

Title

Owner

Phone

(518) 783-1445

Specialties & licenses 1

Addresses

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.

• Joanne Marie Fogarty, MD

  • Specialist
  • Latham, NY
  • NPI 1639269954
  Authorized official Same address or phone

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821178682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105336",
            "telephone_number": "518-783-1445",
            "fax_number": "518-783-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105336",
            "telephone_number": "518-783-1445",
            "fax_number": "518-783-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWTONVILLE PEDIATRICS & INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOGARTY",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-783-1445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NY",
            "license": "195064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New England Laser and Cosmetic Surgry Center LLC
• New Loudon Chiropractic PC
• New York Dialysis Services, Inc. (Fresenius Kidney Care - Latham)
• New York Epilepsy Medicine, PC
• New York Spine and Neurosurgery Associates PC
• Stephanie Jeanette Mannion Ngelezi
• Barbara Nguyen, PA-C
• Samantha Nicchi
• Alexander Ely Nicholson, NPP
• Nancy Lennox Nicholson, PH.D.

• Health Service Clinic/Center in Latham, NY
• Providers in Latham, NY by specialty
• Health Service Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.