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Individual provider Active NPI

Vincent Edwin Meyer Jr., MD

  • Family Medicine Physician
  • Ballston Spa, NY
National Provider Identifier
1851456321
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225072 Issued in NY
Practice address
418 Geyser Rd
#14
Ballston Spa, NY 12020-6002
Phone
(518) 584-5331
Fax
(518) 584-5332
NPI assigned
Dec 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 225072 NY Primary

Addresses

Primary practice location

418 Geyser Rd
#14
Ballston Spa, NY 12020-6002

Mailing address

418 Geyser Rd
#14
Ballston Spa, NY 12020-6002
Phone (518) 584-5331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000555 NY Practitioner - Family Practice 5991970188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meyer, Malin and Associates, PLLCGroup PAC ID 0547435737, 2 clinicians

Practice addresses (Care Compare)

418 Geyser Rd
Suite 14
Ballston Spa, NY 12020-6002
Phone (518) 584-5331

Hospital & facility affiliations

  • Marquis Certified Home Care, LLC Home health agency, Albany, NY, CCN 337418
  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Meyer, Malin and Associates, PLLC Family Medicine CurrentSince Aug 20, 2002 Accepting new patients
Meyer, Malin and Associates PLLC Family Medicine PastSince Sep 30, 2002 Accepting new patients

Locations

418 Geyser Rd
Ballston Spa, NY 12020

418 Geyser Rd
Ste 14
Ballston Spa, NY 12020
Phone (518) 584-5331

101 Main St
Corinth, NY 12822
Phone (518) 654-8511

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851456321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 GEYSER RD",
            "address_2": "#14",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120206002",
            "telephone_number": "518-584-5331",
            "fax_number": "518-584-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 GEYSER RD",
            "address_2": "#14",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120206002",
            "telephone_number": "518-584-5331",
            "fax_number": "518-584-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "VINCENT",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

Verify at the official NPI Registry.