NPIMap

Organization Active NPI

Saratoga Regional Medical , P.C

  • Multi-Specialty Clinic/Center
  • Ballston Spa, NY
National Provider Identifier
1902545148
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SARATOGA REGIONAL MEDICAL , P.C
Practice address
2911 Route 9
Ballston Spa, NY 12020-3975
Phone
(518) 587-6201
NPI assigned
Jun 3, 2022
Last updated
Jan 23, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SARATOGA REGIONAL MEDICAL , P.CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
Christopher Jenkins
Title
Director
Phone
(518) 583-8346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2911 Route 9
Ballston Spa, NY 12020-3975

Mailing address

PO Box 412655
Boston, MA 02241-2655

Other practice location 1

3050 Route 50 Ste 201
Saratoga Springs, NY 12866-2964
Phone (518) 245-8260

Other practice location 2

31 Myrtle St
Saratoga Springs, NY 12866-1036
Phone (518) 587-3222

Other practice location 3

16 Degrandpre Way
Plattsburgh, NY 12901-6451
Phone (518) 587-3222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150505002182 NY Part B Supplier - Clinic/Group Practice 9032438544 Receives reassigned benefits from 137 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saratoga Springs, NY; Queensbury, NY; Plattsburgh, NY; Malta, NY; Ballston Spa, NY

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Saratoga Regional Medical PC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

16 Degrandpre Way
Plattsburgh, NY 12901
Phone (518) 561-8256

267 Union Ave
Saratoga Springs, NY 12866
Phone (518) 886-5970

3050 Route 50
Ste 201
Saratoga Springs, NY 12866
Phone (518) 245-8260

31 Myrtle St
Saratoga Springs, NY 12866
Phone (518) 262-0900

59 Myrtle St
Ste 300
Saratoga Springs, NY 12866
Phone (518) 581-1484

Practitioners & affiliated clinicians

Practitioners 93

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1902545148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412655",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ROUTE 9",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203975",
            "telephone_number": "518-587-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Route 50 Ste 201",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128662964",
            "country_code": "US",
            "telephone_number": "518-245-8260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 Myrtle St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661036",
            "country_code": "US",
            "telephone_number": "518-587-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Degrandpre Way",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129016451",
            "country_code": "US",
            "telephone_number": "518-587-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARATOGA REGIONAL MEDICAL , P.C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARATOGA REGIONAL MEDICAL , P.C",
        "enumeration_date": "2022-06-03",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-583-8346"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Spa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.