Active NPI
CTP Newton Medical PC
- Urgent Care Clinic/Center
- Albany, NY
National Provider Identifier
1942285804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- CTP NEWTON MEDICAL PC
- Practice address
- 1770 Central Ave
Albany, NY 12205-4057 - Phone
- (518) 869-9692
- Fax
- (518) 869-7220
- NPI assigned
- Dec 13, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jillian T Manupella
- Title
- Office Manager
- Phone
- (518) 869-9692
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1770 Central Ave
Albany, NY 12205-4057
Mailing address
1770 Central Ave
Albany, NY 12205-4755
Phone (518) 869-9692
Other names 1
- Newton Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040713001070 | NY | Part B Supplier - Clinic/Group Practice | 1456339639 |
Receives reassigned benefits from 7 practitioners Practice locations: Albany, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0706384 | Newton Medical | Certificate of waiver | Jul 17, 2028 |
National Provider Directory
National Provider DirectoryLocations
1662 Central Ave
Colonie, NY 12205
Phone (518) 240-1456
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Albany, NY
- NPI 1073570883
-
- Family Nurse Practitioner
- Troy, NY
- NPI 1740021807
-
- Adult Health Nurse Practitioner
- Albany, NY
- NPI 1497578207
-
- Internal Medicine Physician
- Albany, NY
- NPI 1275510786
-
- Family Nurse Practitioner
- Latham, NY
- NPI 1174356604
-
- Surgical Physician Assistant
- New York, NY
- NPI 1508991704
-
- Medical Physician Assistant
- Albany, NY
- NPI 1427055698
-
- Family Nurse Practitioner
- Cooperstown, NY
- NPI 1477076693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649376000000",
"number": "1942285804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122054755",
"telephone_number": "518-869-9692",
"fax_number": "518-869-7220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 CENTRAL AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122054057",
"telephone_number": "518-869-9692",
"fax_number": "518-869-7220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CTP NEWTON MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-13",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A",
"authorized_official_last_name": "MANUPELLA",
"authorized_official_first_name": "JILLIAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "518-869-9692"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Newton Medical",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Newton Medical",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.