NPIMap

Organization Active NPI

Glens Falls Hospital

  • Family Medicine Physician
  • Whitehall, NY
National Provider Identifier
1861749475
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GLENS FALLS HOSPITAL
Practice address
65 Poultney St
Whitehall, NY 12887-1543
Phone
(518) 499-2444
Fax
(518) 499-0317
NPI assigned
Aug 14, 2012
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GLENS FALLS HOSPITAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Paul Scimeca
Title
Interim President/Ceo
Phone
(518) 926-5902

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

65 Poultney St
Whitehall, NY 12887-1543

Mailing address

100 Park Street
Glens Falls Hospital - Credentialing
Glens Falls, NY 12801-4413
Phone (518) 926-5924

Other names 1

  • Whitehall Family Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Glens Falls Hospital Inc24 organizations share this tax ID, including this one
Part of
Glens Falls Hospital Inc

Other organizations with this tax ID 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1861749475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 POULTNEY ST",
            "city": "WHITEHALL",
            "state": "NY",
            "postal_code": "128871543",
            "telephone_number": "518-499-2444",
            "fax_number": "518-499-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENS FALLS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLENS FALLS HOSPITAL INC",
        "enumeration_date": "2012-08-14",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "SCIMECA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "INTERIM PRESIDENT/CEO",
        "authorized_official_telephone_number": "518-926-5902"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitehall Family Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Whitehall Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Whitehall, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.