Active NPI
Capital District Surgical Associates, P.L.L.C.
- Surgery Physician
- Troy, NY
National Provider Identifier
1902914526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CAPITAL DISTRICT SURGICAL ASSOCIATES, P.L.L.C.
- Practice address
- 2231 Burdett Ave
Suite 130
Troy, NY 12180-2447 - Phone
- (518) 272-0171
- Fax
- (518) 271-6580
- NPI assigned
- Aug 25, 2006
- Last updated
- May 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Kevin Gebert, M.D.
- Title
- Partner
- Phone
- (518) 272-0171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary |
Addresses
Primary practice location
2231 Burdett Ave
Suite 130
Troy, NY 12180-2447
Mailing address
2231 Burdett Ave
Suite 130
Troy, NY 12180-2447
Phone (518) 272-0171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01752712 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
2231 Burdett Ave
#130
Troy, NY 12180
Phone (518) 272-0172
2231 Burdett Ave
Ste 130
Troy, NY 12180
Phone (518) 272-0171
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Surgery Physician
- Troy, NY
- NPI 1255341152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1902914526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2231 BURDETT AVE",
"address_2": "SUITE 130",
"city": "TROY",
"state": "NY",
"postal_code": "121802447",
"telephone_number": "518-272-0171",
"fax_number": "518-271-6580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2231 BURDETT AVE",
"address_2": "SUITE 130",
"city": "TROY",
"state": "NY",
"postal_code": "121802447",
"telephone_number": "518-272-0171",
"fax_number": "518-271-6580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL DISTRICT SURGICAL ASSOCIATES, P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-25",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "GEBERT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "KEVIN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "518-272-0171",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01752712",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, NY
- Tara Canniff
- Leigh M Cannucciari, LMSW
- Capital Area Hudson Valley New York Dental PC (1st Advantage Dental - Troy)
- Capital District Beginnings, Inc.
- Capital District Podiatry, PLLC
- Capital Eye Care Physicians and Surgeons, PLLC
- Capital Region Midwifery, PLLC
- Capital Region Otolaryngology Head & Neck Group
- Capitol Orthopedic Consultants, P.C.
- Caring Hands 1 on 1 Home Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.