Organization Active NPI

New Dimensions in Living Inc

Doing business as New Dimensions in Health Care

  • Multi-Specialty Clinic/Center
  • Amsterdam, NY
National Provider Identifier
1982674917
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
NEW DIMENSIONS IN LIVING INC
Doing business as
New Dimensions in Health Care
Practice address
40 Wall St
New Dimensions in Health Care
Amsterdam, NY 12010
Phone
(518) 843-2575
Fax
(518) 843-3255
NPI assigned
Jan 24, 2006
Last updated
Jan 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Michael Decker
Title
Chief Executive Officer
Phone
(518) 954-3213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

40 Wall St
New Dimensions in Health Care
Amsterdam, NY 12010

Mailing address

40 Wall St
New Dimensions in Health Care
Amsterdam, NY 12010
Phone (518) 843-2575

Other identifiers 1

IdentifierTypeStateIssuer
01667138MedicaidNY

Other names 1

  • New Dimensions in Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000480 NY Part B Supplier - Clinic/Group Practice 8921089905 Receives reassigned benefits from 10 practitioners
Practice locations: Amsterdam, NY

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
33D0913501New Dimensions in Health Care40 Wall Street, Amsterdam, NY 12010Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

40 Wall St
Amsterdam, NY 12010
Phone (518) 843-2575

47 Liberty Dr
Amsterdam, NY 12010
Phone (518) 842-5080

2902 State Route 9
Ballston Spa, NY 12020
Phone (518) 587-0723

1 Arc Way
Bath, NY 14810
Phone (607) 776-0325

6 Commerce Ln
Canton, NY 13617
Phone (315) 379-9531

495 Clifton Park Ctr Rd
Clifton Park, NY 12065
Phone (518) 587-0723

411 Folts St
Herkimer, NY 13350
Phone (315) 866-2920

181 E State St
Ilion, NY 13357
Phone (315) 866-2920

158 Highland Rd
Massena, NY 13662
Phone (315) 386-4071

357 Mt Hope Rd
Middletown, NY 10940
Phone (845) 343-0871

7 St Patricks PL
Port Henry, NY 12974
Phone (518) 546-3801

22 Depot St
Potsdam, NY 13676
Phone (315) 268-1003

405 Cty Highway 114
St Johnsville, NY 13452
Phone (518) 568-3102

444 Vanduzee St
Watertown, NY 13601
Phone (315) 782-2102

615 W Main St
Watertown, NY 13601
Phone (315) 782-2102

113 N Main St
Wayland, NY 14572
Phone (607) 776-0325

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": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1982674917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WALL ST",
            "address_2": "NEW DIMENSIONS IN HEALTH CARE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-843-2575",
            "fax_number": "518-843-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WALL ST",
            "address_2": "NEW DIMENSIONS IN HEALTH CARE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-843-2575",
            "fax_number": "518-843-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DIMENSIONS IN LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "DECKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "518-954-3213"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01667138",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Dimensions in Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.