Organization Active NPI

Saratoga Hospital

  • Family Medicine Physician
  • Malta, NY
National Provider Identifier
1831553387
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SARATOGA HOSPITAL
Practice address
6 Medical Park Dr
Suite 206
Malta, NY 12020-5061
Phone
(518) 289-2718
Fax
(518) 583-8796
NPI assigned
Apr 11, 2016
Organization subpart
Yes
Parent organization
SARATOGA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Authorized official

Name
Mr. Gary L Foster
Title
VP and Cfo
Phone
(518) 886-5800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6 Medical Park Dr
Suite 206
Malta, NY 12020-5061

Mailing address

6 Medical Park Dr
Suite 206
Malta, NY 12020-5061
Phone (518) 289-2718

Other names 1

  • Saratoga Family Physicians at Malta Other name

National Provider Directory

National Provider Directory
Tax ID family
Manuel Astruc MD33 organizations share this tax ID, including this one
Part of
Manuel Astruc MD

Other organizations with this tax ID 32

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

View all 32

Locations

6 Medical Park Dr
Ste 206
Malta, NY 12020
Phone (518) 289-2718

NPI Registry JSON

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460332800000",
    "number": "1831553387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK DR",
            "address_2": "SUITE 206",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120205061",
            "telephone_number": "518-289-2718",
            "fax_number": "518-583-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PARK DR",
            "address_2": "SUITE 206",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120205061",
            "telephone_number": "518-289-2718",
            "fax_number": "518-583-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARATOGA HOSPITAL",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-04-11",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP AND CFO",
        "authorized_official_telephone_number": "518-886-5800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saratoga Family Physicians at Malta",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.