NPIMap

Organization Active NPI

Park Place Pediatrics, LLC

  • Primary Care Clinic/Center
  • Schenectady, NY
National Provider Identifier
1962673327
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
208608 Issued in NY
Legal business name
PARK PLACE PEDIATRICS, LLC
Practice address
701 Union St
Schenectady, NY 12305-1504
Phone
(518) 374-1610
Fax
(518) 374-3512
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Hadi Koohsari, M.D.NPI 1063496768
Title
Owner
Phone
(518) 374-1610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 208608 NY Primary

Addresses

Primary practice location

701 Union St
Schenectady, NY 12305-1504

Mailing address

701 Union St
Schenectady, NY 12305-1504
Phone (518) 374-1610

National Provider Directory

National Provider Directory

Locations

701 Union St
Schenectady, NY 12305
Phone (518) 374-1610

Practitioners & affiliated clinicians

Practitioners 2

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": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1962673327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051504",
            "telephone_number": "518-374-1610",
            "fax_number": "518-374-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNION ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123051504",
            "telephone_number": "518-374-1610",
            "fax_number": "518-374-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK PLACE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "KOOHSARI",
        "authorized_official_first_name": "HADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-374-1610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "208608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.