NPIMap

Organization Active NPI

Capital District Pediatrics P.L.L.C

  • Primary Care Clinic/Center
  • Albany, NY
National Provider Identifier
1861676009
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
208353 Issued in NY
Legal business name
CAPITAL DISTRICT PEDIATRICS P.L.L.C
Practice address
400 Patroon Creek
Suite 201
Albany, NY 12206
Phone
(518) 438-7086
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Dr. Ifeoma Clarissa Ojukwu, M.DNPI 1811928575
Title
Pediatrician
Phone
(518) 438-7086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 208353 NY Primary

Addresses

Primary practice location

400 Patroon Creek
Suite 201
Albany, NY 12206

Mailing address

P.O. Box 14
Guilderland, NY 12084
Phone (518) 438-7086

National Provider Directory

National Provider Directory
Tax ID family
Capital District Pediatrics PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

400 Patroon Creek Blvd
Ste 201
Albany, NY 12206
Phone (518) 438-7086

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1861676009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 14",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "12084",
            "telephone_number": "518-438-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PATROON CREEK",
            "address_2": "SUITE 201",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12206",
            "telephone_number": "518-438-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DISTRICT PEDIATRICS P.L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "OJUKWU",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_middle_name": "CLARISSA",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "518-438-7086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "208353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.