Organization Active NPI

CTP Newton Medical PC

  • Urgent Care Clinic/Center
  • Albany, NY
National Provider Identifier
1942285804
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Apr 8, 2022

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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
33D0706384Newton Medical1770 Central Avenue, Albany, NY 12205Certificate of waiverJul 17, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.