Organization Active NPI

Capital District Orthotic Group

  • General Practice Physician
  • Schenectady, NY
National Provider Identifier
1912233065
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
180400-1 Issued in NY
Legal business name
CAPITAL DISTRICT ORTHOTIC GROUP
Practice address
624 McClellan St
Ste G05
Schenectady, NY 12304-1020
Phone
(518) 370-3338
Fax
(518) 344-1229
NPI assigned
Oct 26, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
CAPITAL DISTRICT ORHOTIC GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Robert Rattner, MD
Title
President
Phone
(518) 370-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 180400-1 NY Primary

Addresses

Primary practice location

624 McClellan St
Ste G05
Schenectady, NY 12304-1020

Mailing address

624 McClellan St
Ste G05
Schenectady, NY 12304-1020
Phone (518) 370-3338

National Provider Directory

National Provider Directory
Part of
Capital District Orthotic Group

Locations

624 McClellan St
Ste G05
Schenectady, NY 12304
Phone (518) 347-5113

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1912233065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN ST",
            "address_2": "STE G05",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041020",
            "telephone_number": "518-370-3338",
            "fax_number": "518-344-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN ST",
            "address_2": "STE G05",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041020",
            "telephone_number": "518-370-3338",
            "fax_number": "518-344-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DISTRICT ORTHOTIC GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITAL DISTRICT ORHOTIC GROUP",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "RATTNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-370-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "180400-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 26, 2009; 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.