Centralmed Urgent Care and Primary Care LLP

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CENTRALMED URGENT CARE AND PRIMARY CARE LLP

Practice address

1662 Central Ave
Colonie, NY 12205-4059

Phone

(518) 240-1456

Fax

(607) 800-4134

NPI assigned

May 12, 2020

Last updated

May 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nosa D Aigbe Lebarty, MDNPI 1629385315

Title

Owner

Phone

(518) 951-0740

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 3

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.

• Nosa Dennis Aigbe Lebarty, MD

  • Hospitalist Physician
  • Schenectady, NY
  • NPI 1629385315
  Medicare reassignment Care Compare group NPD Authorized official
• Jina Bae Nocera, M.D.

  • Nephrology Physician
  • Palatine Bridge, NY
  • NPI 1538105887
  Medicare reassignment Care Compare group NPD
• Katherine Lillian Degni

  • Family Medicine Physician
  • Albany, NY
  • NPI 1053273557
  Medicare reassignment

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589241600000",
    "number": "1932721032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 CENTRAL AVE",
            "city": "COLONIE",
            "state": "NY",
            "postal_code": "122054059",
            "telephone_number": "518-240-1456",
            "fax_number": "607-800-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 CENTRAL AVE",
            "city": "COLONIE",
            "state": "NY",
            "postal_code": "122054059",
            "telephone_number": "518-240-1456",
            "fax_number": "607-800-4134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRALMED URGENT CARE AND PRIMARY CARE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A",
        "authorized_official_last_name": "AIGBE LEBARTY",
        "authorized_official_first_name": "NOSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-951-0740",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shyla Ann Dauria, LMHC, NCC, CASAC

• Urgent Care Clinic/Center in Colonie, NY
• Providers in Colonie, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.