Paul E Gaffuri, MD

Key facts

NPI

1962494906

Entity type

Individual (NPI type 1)

Primary specialty

Pediatrics Physician 208000000X

License

147753 (NY)

Practice address

1240 New Scotland Rd Ste 203
Slingerlands, NY 12159-9222

Phone

(518) 478-9423

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St. Peter'S Health Partners Medical Associates, P.C. Multi-Specialty Clinic/Center · Albany, NY · NPI 1750626834
  Medicare reassignment NY
• St. Peter'S Health Partners Medical Associates, P.C. Urology Physician · Albany, NY · NPI 1487081923
  NPD
• St. Peter'S Health Partners Medical Associates, P.C. Pediatrics Physician · Slingerlands, NY · NPI 1669717260
  NPD (past) PEDIATRICS

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 19, 2021.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1962494906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 NEW SCOTLAND RD STE 203",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599222",
            "telephone_number": "518-478-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAFFURI",
        "first_name": "PAUL",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "147753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00772207",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1240 New Scotland Rd Ste 203",
            "city": "Slingerlands",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121599222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Slingerlands, NY

• Joseph Concodora Farrell, PHARM.D, RPH
• Tara Ellen Fay, FNP-BC
• Daniel D Fernandez, MD
• Peter H Forman, MD
• David Foyt, MD
• Melissa Jean Gallogly, N.P.
• Antoinette M Gamon, FNP
• Sai B Gandham, M.D.
• G. Akua Gibson, LMSW
• Glaucoma Consultants of the Capital Region,PLLC

All providers in Slingerlands, NY · Pediatrics Physician in New York