Organization Active NPI

Adirondack Cancer Care

  • Specialist
  • Glens Falls, NY
National Provider Identifier
1831204775
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ADIRONDACK CANCER CARE
Practice address
420 Glen St
Glens Falls, NY 12801-2929
Phone
(518) 761-0000
Fax
(518) 793-2926
NPI assigned
Aug 20, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
Ms. Bridget Elizabeth Morrill
Title
Practice Administrator
Phone
(518) 761-0000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

420 Glen St
Glens Falls, NY 12801-2929

Mailing address

420 Glen St
Glens Falls, NY 12801-2929
Phone (518) 761-0000

Other identifiers 1

IdentifierTypeStateIssuer
01707813MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1831204775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012929",
            "telephone_number": "518-761-0000",
            "fax_number": "518-793-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 GLEN ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128012929",
            "telephone_number": "518-761-0000",
            "fax_number": "518-793-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK CANCER CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "MORRILL",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "518-761-0000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01707813",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.