Organization Active NPI

Clifton Medical PC

  • General Practice Physician
  • Clifton Park, NY
National Provider Identifier
1831277391
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
CLIFTON MEDICAL PC
Practice address
615 Route 146a
Clifton Park, NY 12065-1606
Phone
(518) 371-4610
Fax
(518) 371-8307
NPI assigned
Nov 1, 2006
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Mrs. Patricia Ann Rudnick
Title
Office Manager
Phone
(518) 371-4610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

615 Route 146a
Clifton Park, NY 12065-1606

Mailing address

615 Route 146a
Clifton Park, NY 12065-1606
Phone (518) 371-4610

National Provider Directory

National Provider Directory

Locations

615 Route 146A
Clifton Park, NY 12065
Phone (518) 371-4610

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1831277391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ROUTE 146A",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651606",
            "telephone_number": "518-371-4610",
            "fax_number": "518-371-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 ROUTE 146A",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651606",
            "telephone_number": "518-371-4610",
            "fax_number": "518-371-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "RUDNICK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-371-4610",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.