Organization Active NPI

Upstate Cardiology, PLLC

  • Cardiovascular Disease Physician
  • Valatie, NY
National Provider Identifier
1922053768
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2005731 Issued in NY
Legal business name
UPSTATE CARDIOLOGY, PLLC
Practice address
1301 River St
Suite 201
Valatie, NY 12184-9694
Phone
(518) 758-2055
Fax
(518) 758-2057
NPI assigned
May 23, 2006
Last updated
Nov 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Dr. Princewill O Ogbuji, M.D.NPI 1750341897
Title
MD/Owner
Phone
(518) 758-2055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 2005731 NY Primary

Addresses

Primary practice location

1301 River St
Suite 201
Valatie, NY 12184-9694

Mailing address

1301 River St
Suite 201
Valatie, NY 12184-9694
Phone (518) 758-2055

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1922053768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 RIVER ST",
            "address_2": "SUITE 201",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121849694",
            "telephone_number": "518-758-2055",
            "fax_number": "518-758-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVER ST",
            "address_2": "SUITE 201",
            "city": "VALATIE",
            "state": "NY",
            "postal_code": "121849694",
            "telephone_number": "518-758-2055",
            "fax_number": "518-758-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE CARDIOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "OGBUJI",
        "authorized_official_first_name": "PRINCEWILL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "518-758-2055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "2005731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valatie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.