Individual provider Active NPI

Joseph R. Sinchak, M.D.

  • Family Medicine Physician
  • Canajoharie, NY
National Provider Identifier
1922007400
Registry record updated Mar 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
158811-1 Issued in NY
Practice address
48 Erie Blvd
St. Mary'S Healthcare, Canajoharie Health Center
Canajoharie, NY 13317-1133
Phone
(518) 673-2573
Fax
(518) 673-2781
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 158811-1 NY Primary

Addresses

Primary practice location

48 Erie Blvd
St. Mary'S Healthcare, Canajoharie Health Center
Canajoharie, NY 13317-1133

Mailing address

427 Guy Park Ave
St. Mary'S Healthcare
Amsterdam, NY 12010-1054
Phone (518) 841-7430

Other identifiers 3

IdentifierTypeStateIssuer
01700412MedicaidNY
8233OtherNYM.V.P.
10001905OtherNYC.D.P.H.P.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100901000401 NY Practitioner - Internal Medicine 5698899334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

48 Erie Blvd
Canajoharie, NY 13317-1133
Phone (518) 673-2573

Hospital & facility affiliations

  • Mountain Valley Hospice & Palliative Care Hospice, Gloversville, NY, CCN 331523
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
158811-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Healthcare CurrentSince Oct 1, 1983 Accepting new patients
St. Mary'S Healthcare CurrentSince Oct 1, 1983 Accepting new patients
St. Mary'S Healthcare Past Accepting new patients

Locations

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

48 Erie Blvd
Canajoharie, NY 13317
Phone (518) 673-2573

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363910400000",
    "number": "1922007400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 GUY PARK AVE",
            "address_2": "ST. MARY'S HEALTHCARE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101054",
            "telephone_number": "518-841-7430",
            "fax_number": "518-841-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ERIE BLVD",
            "address_2": "ST. MARY'S HEALTHCARE, CANAJOHARIE HEALTH CENTER",
            "city": "CANAJOHARIE",
            "state": "NY",
            "postal_code": "133171133",
            "telephone_number": "518-673-2573",
            "fax_number": "518-673-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINCHAK",
        "first_name": "JOSEPH",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2013-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "158811-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01700412",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.V.P.",
            "identifier": "8233",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C.D.P.H.P.",
            "identifier": "10001905",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canajoharie, NY

Sources for this page

Verify at the official NPI Registry.