NPIMap

Organization Active NPI

Saratoga Hospital

  • Sports Medicine (Family Medicine) Physician
  • Malta, NY
National Provider Identifier
1962971663
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
Legal business name
SARATOGA HOSPITAL
Practice address
8 Medical Park Drive
Suite 100
Malta, NY 12020-5050
Phone
(518) 363-8710
Fax
(518) 363-8711
NPI assigned
Nov 26, 2018
Organization subpart
Yes
Parent organization
SARATOGA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2018

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

Authorized official

Name
Gary L Foster
Title
VP/Cfo
Phone
(518) 583-8421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X Primary

Addresses

Primary practice location

8 Medical Park Drive
Suite 100
Malta, NY 12020-5050

Mailing address

PO Box 1368
Albany, NY 12201-1368
Phone (518) 348-1276

National Provider Directory

National Provider Directory
Tax ID family
Manuel Astruc MD33 organizations share this tax ID, including this one
Part of
Manuel Astruc MD

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

8 Medical Park Dr
Ste 201
Malta, NY 12020

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": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543536000000",
    "number": "1962971663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1368",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122011368",
            "telephone_number": "518-348-1276",
            "fax_number": "518-348-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MEDICAL PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120205050",
            "telephone_number": "518-363-8710",
            "fax_number": "518-363-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARATOGA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARATOGA HOSPITAL",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-30",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP/CFO",
        "authorized_official_telephone_number": "518-583-8421"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malta, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.