Community Care Physicians, PLLC
Organization Active NPI Internal Medicine Physician · Latham, NY
NPI 1922048370 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1922048370
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- COMMUNITY CARE PHYSICIANS, PLLC
- Practice address
- 6 Wellness Way Ste 201
Latham, NY 12110-2156 - Phone
- (518) 782-3700
- Fax
- (518) 782-3799
- NPI assigned
- Jun 7, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY CARE PHYSICIANS, PLLC
Authorized official
- Name
- Diane Marie Stamas
- Title
- Credentialing Coordinator
- Phone
- (518) 782-3742
Practitioners 669
-
Geri L Aitken, D.O.
-
Christina L Allen, FNP
-
Madeline Rose Amedore, FNP-BC
-
Manek Aulakh, M.D.
-
Abul K Azad, MD
-
Lev L Barats, MD
-
Yoram Beer, MD
-
Robert E Benton, MD
-
Jessica Berman, MD
-
Lisa R Bevilacqua, D.O.
-
Joanne Virginia Bifaro, M.D.
-
Olivia Lauren Bransky, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (11 enrollments) in NY, NJ, MD, NC, MO, FL, DC, SC, GA, CA, PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080130000272 | NY | Part B Supplier - Clinic/Group Practice | 8022904473 | Receives reassigned benefits from 536 practitioners |
| O20160318000104 | NJ | Part B Supplier - Clinic/Group Practice | 8022904473 |
Receives reassigned benefits from 2 practitioners Practice locations: Jobstown, NJ; Teaneck, NJ |
| O20171019001730 | MD | Part B Supplier - Clinic/Group Practice | 8022904473 |
Receives reassigned benefits from 2 practitioners Practice locations: Dayton, MD |
| O20190809000396 | NC | Part B Supplier - Clinic/Group Practice | 8022904473 |
Receives reassigned benefits from 2 practitioners Practice locations: Durham, NC |
| O20200520001869 | MO | Part B Supplier - Clinic/Group Practice | 8022904473 |
Receives reassigned benefits from 1 practitioner Practice locations: Saint Louis, MO |
| O20210823000247 | FL | Part B Supplier - Clinic/Group Practice | 8022904473 |
Receives reassigned benefits from 3 practitioners Practice locations: Boynton Beach, FL; North Port, FL; West Palm Beach, FL |
| O20230313002755 | DC | Part B Supplier - Clinic/Group Practice | 8022904473 |
Receives reassigned benefits from 1 practitioner Practice locations: Falls Church, VA |
| O20230424000589 | SC | Part B Supplier - Clinic/Group Practice | 8022904473 |
Receives reassigned benefits from 1 practitioner Practice locations: Simpsonville, SC |
| O20231017001846 | GA | Part B Supplier - Clinic/Group Practice | 8022904473 |
Receives reassigned benefits from 3 practitioners Practice locations: Atlanta, GA; Marietta, GA; Columbus, GA |
| O20240226000201 | CA | Part B Supplier - Clinic/Group Practice | 8022904473 |
Receives reassigned benefits from 2 practitioners Practice locations: Anaheim, CA; Sunnyvale, CA |
| O20240321001336 | PA | Part B Supplier - Clinic/Group Practice | 8022904473 |
Receives reassigned benefits from 1 practitioner Practice locations: Philadelphia, PA |
National Provider Directory
- Part of
- East Hudson Community C
Locations (25 of 77)
2 Clara Barton Dr
Ste 201
Albany, NY 12208
Phone (518) 207-2273
23 Hackett Blvd
Ste 103
Albany, NY 12208
Phone (518) 446-0391
391 Myrtle Ave
Ste 4C
Albany, NY 12208
Phone (518) 207-2299
391 Myrtle Ave
#4C
Albany, NY 12208
2 Clara Barton Dr
Ste 114
Albany, NY 12208
Phone (518) 459-5273
2520 Riverfront Ctr
Amsterdam, NY 12010
Phone (518) 782-3900
2615 Riverfront Ctr
Amsterdam, NY 12010
Phone (518) 684-0077
5 Hemphill Pl
Ste 12
Ballston Spa, NY 12020
1184 State Route 50
Burnt Hills, NY 12019
Phone (518) 384-1281
81 Miller Rd
Ste 800
Castleton on Hudson, NY 12033
Phone (518) 477-2167
942A Route 146
Clifton Park, NY 12065
Phone (518) 371-8000
939 Route 146
Ste 700
Clifton Park, NY 12065
Phone (518) 383-0891
200 Delaware Ave
Ste 100
Delmar, NY 12054
199 Delaware Ave
Delmar, NY 12054
Phone (518) 439-1131
250 Delaware Ave
Ste 201
Delmar, NY 12054
Phone (518) 690-0789
5 Elm Ave
#2
Delmar, NY 12054
Phone (518) 439-9363
6 Mountain Ledge
Ste 1
Gansevoort, NY 12831
Phone (518) 584-0355
6 Mountain Ledge
Gansevoort, NY 12831
Phone (518) 584-0335
2 Irongate Ctr
Glens Falls, NY 12801
Phone (518) 475-9090
1735 Route 9
Ste 101
Halfmoon, NY 12065
Phone (518) 373-2042
1735 Route 9
Ste 105
Halfmoon, NY 12065
Phone (518) 383-2366
1735 Route 9
Ste 104
Halfmoon, NY 12065
Phone (518) 213-0395
1783 Route 9
Ste 201
Halfmoon, NY 12065
Phone (518) 274-0476
1783 Route 9
Ste 202B
Halfmoon, NY 12065
Phone (518) 881-1091
1783 Route 9
Ste 104
Halfmoon, NY 12065
Phone (518) 836-2428
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Nuclear Medicine Physician |
207U00000X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Pediatrics Physician |
208000000X | |||
| Diagnostic Radiology Physician |
2085R0202X | |||
| Vascular & Interventional Radiology Physician |
2085R0204X | |||
| Surgery Physician |
208600000X | |||
| General Practice Physician |
208D00000X |
Addresses
Primary practice location
6 Wellness Way Ste 201
Latham, NY 12110-2156
Mailing address
6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00863552 | Medicaid | NY |
Other providers in Latham, NY
- Community Care Physicians, PLLC
- Community Care Physicians, PLLC
- Community Care Physicians, PLLC
- Community Care Physicians, PLLC
- Community Care Physicians, PLLC
- Comprehensive MRI of New York, P.C.
- Stephanie Connally
- Connectrx Latham, LLC
- Connectrx Latham, LLC
- Patricia Anne Connolly
All providers in Latham, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.