CAPITAL REGION UROLOGICAL SURGEONS


Address: 4 Executive Park Dr, Albany, NY 12203-3718
Phone: 5184897494

CAPITAL REGION UROLOGICAL SURGEONS (NPI# 1184979171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184979171
Entity Type Organization
Organization Name CAPITAL REGION UROLOGICAL SURGEONS
Practice Address 4 Executive Park Dr
Albany
NY 12203-3718
Mailing Address 319 S Manning Blvd
Suite 106
Albany
NY 12208-1742
Practice Telephone 5184897494
Practice Fax Number 5184897641
Mailing Telephone 5184380507
Mailing Fax Number 5184380981
Enumeration Date 2012-07-17
Last Update Date 2012-07-17
Authorized Official Name JENNIFER A YATES (BILLING MANAGER)
Authorized Official Telephone 5184380507
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1700131992 Capital Region Urological Surgeons Specialist 19 West Ave, Saratoga Spgs, NY 12866-6049 2012-07-13
1295001089 Capital Region Urological Surgeons Specialist 319 S Manning Blvd, Suite 106, Albany, NY 12208-1742 2012-03-27

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations CAPITAL REGION UROLOGICAL SURGEONS, PLLC Nixon Peabody LLP, 677 Brodway 10th Flr, Albany, New York 12207

Office Location

Street Address 4 EXECUTIVE PARK DR
City ALBANY
State NY
Zip Code 12203-3718

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154314805 Thomas F. Fashouer Specialist/Technologist 4 Executive Park Dr, Albany Physical Therapy, Albany, NY 12203-3718 2005-08-29
1578045258 Juwon Park Dmd PC Dentist 4 Executive Park Dr, Albany, NY 12203-3718 2018-08-30
1265936496 Purificato Physical Therapy Pllc Clinic/Center 4 Executive Park Dr, Albany, NY 12203-3718 2018-03-21
1649799636 James Nalbone, Md Pllc Psychiatry & Neurology 4 Executive Park Dr, Albany, NY 12203-3718 2017-09-12
1962883595 Terence Hoyt Counselor 4 Executive Park Dr, Ste 201, Albany, NY 12203-3718 2015-06-09
1831529098 Sphpma Crus Urology Urology 4 Executive Park Dr, Albany, NY 12203-3718 2013-11-25
1164781837 Phrances Blay Hinch Nurse Practitioner 4 Executive Park Dr, Albany, NY 12203-3718 2012-05-15
1942529631 Subrata Mukherjee Dentist 4 Executive Park Dr, Albany, NY 12203-3718 2010-05-20
1720300296 Andrea Berkowitz Lcsw Social Worker 4 Executive Park Dr, Albany, NY 12203-3718 2010-02-24
1902031107 Thelma Costello Ms Lmhc PC Community/Behavioral Health 4 Executive Park Dr, 2nd Flr, Albany, NY 12203-3718 2009-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720695885 Claire Ellen Williams Student in an Organized Health Care Education/Training Program Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 2020-09-23
1912551425 Samaritan Hospital of Troy, New York Nurse Practitioner 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 2019-08-01
1205365640 Esther Pearl Jackson Counselor 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 2017-06-08
1558899591 Diane Marie Wyatt Social Worker 1044 Western Ave, Albany, NY 12203 2017-06-02
1366980419 Lessie Lynette Johnson Social Worker 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 2017-02-09
1588108617 Theresa Viola Dicroce Physical Therapy Assistant One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 2016-12-08
1366813818 Eileen Nancy Nagy Audiologist 14 Columbia Circle, Suite 202, Albany, NY 12203 2015-10-09
1609242197 Jaclyn Whitman Specialist 230 Washington Ave Extention, Albany, NY 12203 2015-08-19
1447657457 Joyce Yvette Dewitt-parker Psychologist 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 2014-11-20
1023357373 Meredith Gaucher Physical Therapist 1971 Western Ave Ste 100, Albany, NY 12203 2013-02-06
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114428141 Johnae Patrice Galloway Specialist 600 New Scotland Ave, Albany, NY 12208-1928 2018-02-25
1205373917 Nicarro Henderson Specialist 2005 E Dawson Rd, Albany, GA 31707 2017-01-20
1457703217 Rebecca Burke Specialist 113 Krumkill Rd, Albany, NY 12208-1249 2016-07-05
1639535933 Emily Soule Specialist 687 Myrtle Ave, Apt 1, Albany, NY 12208-3711 2016-01-04
1891163903 Anca Rabinowitz Specialist 22a Old Hickory Dr, Apt.2a, Albany, NY 12204-1137 2015-09-04
1609242197 Jaclyn Whitman Specialist 230 Washington Ave Extention, Albany, NY 12203 2015-08-19
1548651706 Katrina Reittinger Specialist 50 Phillip St, Albany, NY 12207 2015-02-10
1700226792 Jeffrey Sansobrino Specialist 1 Rapp Rd # 1, Albany, NY 12203-4491 2013-07-05
1306186739 Kate Ireland Panza Specialist 29 Krug Ct, Albany, NY 12211-1914 2013-02-21
1992045470 Maryjo Aidala Specialist 1658 Central Ave, Albany, NY 12205-4029 2013-02-21
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Competitor

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City ALBANY
Zip Code 12203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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