NPIMap

Organization Active NPI

Troy Infectious Disease and Primary Care LLC

  • Infectious Disease Physician
  • Troy, NY
National Provider Identifier
1952609125
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
163626 Issued in NY
Legal business name
TROY INFECTIOUS DISEASE AND PRIMARY CARE LLC
Practice address
2317 15TH St
Troy, NY 12180-2307
Phone
(518) 266-9960
Fax
(518) 266-9974
NPI assigned
Mar 11, 2011
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Tanveer A Sultan, MD
Title
Owner
Phone
(518) 496-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 163626 NY Primary

Addresses

Primary practice location

2317 15TH St
Troy, NY 12180-2307

Mailing address

2317 15TH St
Troy, NY 12180-2307
Phone (518) 266-9960

Other identifiers 1

IdentifierTypeStateIssuer
01450095MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 51

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.

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1952609125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 15TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802307",
            "telephone_number": "518-266-9960",
            "fax_number": "518-266-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 15TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802307",
            "telephone_number": "518-266-9960",
            "fax_number": "518-266-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY INFECTIOUS DISEASE AND PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "TANVEER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-496-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "163626",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01450095",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.