NPIMap

Organization Active NPI

Saratoga Hospital

  • Family Medicine Physician
  • Ballston Lake, NY
National Provider Identifier
1922482264
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SARATOGA HOSPITAL
Practice address
112 Charlton Rd
Cdphp Site
Ballston Lake, NY 12019-2547
Phone
(518) 399-7723
Fax
(518) 399-6428
NPI assigned
Jul 16, 2015
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
SARATOGA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Gary Foster
Title
VP/Cfo
Phone
(518) 583-8421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

112 Charlton Rd
Cdphp Site
Ballston Lake, NY 12019-2547

Mailing address

PO Box 1220
Albany, NY 12201-1220
Phone (518) 348-1276

Other names 1

  • FOR CDPHP USE ONLY Other name

National Provider Directory

National Provider Directory
Tax ID family
Saratoga Hospital33 organizations share this tax ID, including this one
Part of
Saratoga Hospital

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

Practitioners & affiliated clinicians

Practitioners 10

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": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1922482264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1220",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122011220",
            "telephone_number": "518-348-1276",
            "fax_number": "518-348-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CHARLTON RD",
            "address_2": "CDPHP SITE",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192547",
            "telephone_number": "518-399-7723",
            "fax_number": "518-399-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARATOGA HOSPITAL",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "518-583-8421"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOR CDPHP USE ONLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ballston Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.