Individual provider Active NPI

Amy Eckstein-Vangelder, PA

  • Physician Assistant
  • Saratoga Springs, NY
National Provider Identifier
1861483208
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
004619 Issued in NY
Practice address
3050 Route 50
Saratoga Hospital - Saratoga Center for Endocrinology
Saratoga Springs, NY 12866-2958
Phone
(518) 348-1276
Fax
(518) 383-8104
NPI assigned
Nov 3, 2005
Last updated
Nov 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 004619 NY Primary

Addresses

Primary practice location

3050 Route 50
Saratoga Hospital - Saratoga Center for Endocrinology
Saratoga Springs, NY 12866-2958

Mailing address

3 Corporate Dr
Strategic Solutions Management Consultants
Halfmoon, NY 12065-8635
Phone (518) 348-1276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050712000355 NY Practitioner - Physician Assistant 2961438908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004619NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Oct 1, 2016 Accepting new patients
Saratoga Hospital CurrentSince Oct 1, 2016 Accepting new patients
Albany Medical College Physician Assistant Past Accepting new patients

Locations

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

3050 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5108

665 Saratoga Rd
Ste 400
Wilton, NY 12831
Phone (518) 580-2185

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1861483208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORPORATE DR",
            "address_2": "STRATEGIC SOLUTIONS MANAGEMENT CONSULTANTS",
            "city": "HALFMOON",
            "state": "NY",
            "postal_code": "120658635",
            "telephone_number": "518-348-1276",
            "fax_number": "518-383-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 ROUTE 50",
            "address_2": "SARATOGA HOSPITAL - SARATOGA CENTER FOR ENDOCRINOLOGY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662958",
            "telephone_number": "518-348-1276",
            "fax_number": "518-383-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKSTEIN-VANGELDER",
        "first_name": "AMY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "004619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.