Organization Active NPI

American Horizon Medical PLLC

  • Internal Medicine Physician
  • Watervliet, NY
National Provider Identifier
1922278035
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209567 Issued in NY
Legal business name
AMERICAN HORIZON MEDICAL PLLC
Practice address
1500 2ND Ave
Watervliet, NY 12189-2800
Phone
(518) 369-7694
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Tahir EffendiNPI 1285739789
Title
Owner
Phone
(518) 369-7694

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 209567 NY Primary

Addresses

Primary practice location

1500 2ND Ave
Watervliet, NY 12189-2800

Mailing address

PO Box 5406
Clifton Park, NY 12065-0866
Phone (518) 369-7694

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080501000188 NY Part B Supplier - Clinic/Group Practice 4981783057 Receives reassigned benefits from 2 practitioners
Practice locations: Watervliet, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2330133American Horizon Medical PLLC1500 Second Avenue, Watervliet, NY 12189Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

Locations

1500 2nd Ave
Watervliet, NY 12189
Phone (518) 272-0027

1500 2nd Ave
#1
Watervliet, NY 12189
Phone (518) 272-0028

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1922278035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5406",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120650866",
            "telephone_number": "518-369-7694",
            "fax_number": "518-272-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 2ND AVE",
            "city": "WATERVLIET",
            "state": "NY",
            "postal_code": "121892800",
            "telephone_number": "518-369-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN HORIZON MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "EFFENDI",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-369-7694",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watervliet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.