NPIMap

Organization Active NPI

Schenectady Radiologists, P.C.

  • Specialist
  • Schenectady, NY
National Provider Identifier
1902879141
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
156431 Issued in NY
Legal business name
SCHENECTADY RADIOLOGISTS, P.C.
Practice address
2546 Balltown Rd
Suite 100
Schenectady, NY 12309-1079
Phone
(518) 372-1344
Fax
(518) 372-9848
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. Michael L Burke, M.D.
Title
Radiologist
Phone
(518) 372-4405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 156431 NY Primary

Addresses

Primary practice location

2546 Balltown Rd
Suite 100
Schenectady, NY 12309-1079

Mailing address

107 Nott Ter
Suite 100
Schenectady, NY 12308-3170
Phone (518) 372-4405

Other identifiers 1

IdentifierTypeStateIssuer
01149348MedicaidNY

National Provider Directory

National Provider Directory

Locations

1182 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 248-4600

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1902879141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NOTT TER",
            "address_2": "SUITE 100",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123083170",
            "telephone_number": "518-372-4405",
            "fax_number": "518-372-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 BALLTOWN RD",
            "address_2": "SUITE 100",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123091079",
            "telephone_number": "518-372-1344",
            "fax_number": "518-372-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHENECTADY RADIOLOGISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "RADIOLOGIST",
        "authorized_official_telephone_number": "518-372-4405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "156431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01149348",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.