COMMUNITY CARE PHYSICIANS, PC (NPI# 1508227323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508227323 |
Entity Type | Organization |
Organization Name | COMMUNITY CARE PHYSICIANS, PC |
Other Organization Name | THE CHILD NEUROLOGY GROUP OF COMMUITY CARE PHYSICIANS |
Practice Address |
1783 Route 9 Suite 101 Halfmoon NY 12065-2409 |
Mailing Address |
711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 |
Practice Telephone | 5187823810 |
Practice Fax Number | 5187823838 |
Mailing Telephone | 5187823700 |
Mailing Fax Number | 5187823799 |
Enumeration Date | 2016-03-08 |
Last Update Date | 2016-08-29 |
Authorized Official Name | DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 5187823742 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
237138 | NY | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
The Child Neurology Group of Commuity Care Physicians | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073025888 | Community Care Physicians, PC | Surgery | 2520 Riverfront Ctr, Amsterdam, NY 12010-4614 | 2017-11-02 |
1255853065 | Community Care Physicians, PC | Family Medicine | 711 Troy Schenectady Rd Ste 109, Latham, NY 12110-2454 | 2017-07-13 |
1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
1780956474 | Community Care Physicians, PC | Obstetrics & Gynecology | 5 Southside Dr, Suite 204, Clifton Park, NY 12065-3870 | 2012-01-27 |
1285905786 | Community Care Physicians, PC | Internal Medicine | 199 Delaware Ave, Delmar, NY 12054-1229 | 2012-01-16 |
1487937348 | Community Care Physicians, PC | Pediatrics | 3732 Carman Rd., Schenectady, NY 12303-5422 | 2011-09-27 |
1841573706 | Community Care Physicians, PC | Pediatrics | 942 A Route 146, Clifton Park, NY 12605-3614 | 2011-09-27 |
1104109065 | Community Care Physicians, PC | Internal Medicine | 2546 Balltown Road, Suite 200, Schenectady, NY 12309-1079 | 2011-09-27 |
1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
1093097586 | Community Care Physicians, PC | Family Medicine | 2524 Us Route 9w, Ravena, NY 12143-2804 | 2011-09-12 |
Street Address |
1783 ROUTE 9 SUITE 101 |
City | HALFMOON |
State | NY |
Zip Code | 12065-2409 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831128206 | Eric Carl Schnakenberg | Family Medicine | 1783 Route 9, Suite 204, Halfmoon, NY 12065-2409 | 2006-06-30 |
1003358920 | Community Care Physicians, PC | Audiologist | 1783 Route 9, Suite 206, Halfmoon, NY 12065-2409 | 2016-11-09 |
1538617030 | Samantha Marie Testa | Physician Assistant | 1783 Route 9, Suite #102, Halfmoon, NY 12065-2409 | 2016-09-14 |
1548610603 | Community Care Physicians, PC | Urology | 1783 Route 9, Suite 203, Halfmoon, NY 12065-2409 | 2016-06-20 |
1003257551 | Community Care Physicians, PC | Internal Medicine | 1783 Route 9, Suite 102, Halfmoon, NY 12065-2409 | 2013-07-12 |
1114271970 | Julia M Gross | Nurse Practitioner | 1783 Route 9, Suite 204, Halfmoon, NY 12065-2409 | 2012-11-01 |
1538424361 | Kathleen Garbarino Bennett | Physician Assistant | 1783 Route 9, Suite 101, Halfmoon, NY 12065-2409 | 2012-07-09 |
1316219090 | Community Care Physicians, PC | Physical Therapist | 1783 Route 9, Suite 105, Halfmoon, NY 12065-2409 | 2012-01-27 |
1992077671 | Community Care Physicians, PC | Radiology | 1783 Route 9, Suite 104, Halfmoon, NY 12065-2409 | 2012-01-27 |
1215211644 | Community Care Physicians, PC | Family Medicine | 1783 Route 9, Suite 202, Halfmoon, NY 12065-2409 | 2011-10-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
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Taxonomy Code | 2084N0402X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology with Special Qualifications in Child Neurology |
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912131525 | Richard Joseph Simmons | Psychiatry & Neurology | 1783 Route 9, Suite 101, Halfmoon, NY 12065-2409 | 2009-05-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538665971 | Kristen Barbour | Psychiatry & Neurology | 505 E 70th St # 611, New York, NY 10021-4872 | 2018-04-04 |
1164940490 | Kashyar Khodabakhsh M.d.p.c. | Psychiatry & Neurology | 260 Middle Neck Rd Apt 1e, Great Neck, NY 11021-1159 | 2017-09-07 |
1629452685 | Inge Anita Meijer | Psychiatry & Neurology | 10 Union Sq E Fl 5, Suite 5k, New York, NY 10003-3314 | 2015-07-18 |
1457770620 | Rolla Nuoman | Psychiatry & Neurology | 755 N Broadway Ste 540, Sleepy Hollow, NY 10591 | 2014-04-15 |
1689093445 | Evelyn Olga Berman | Psychiatry & Neurology | 200 East River Rd, Rochester, NY 14623 | 2014-04-09 |
1760809719 | Danielle Brigham | Psychiatry & Neurology | 710 W 168th St Fl 7, New York, NY 10032-3726 | 2014-03-27 |
1861767931 | Pascal Saremsky | Psychiatry & Neurology | 2965 Long Beach Rd Ste 200, Oceanside, NY 11572-3255 | 2012-03-21 |
1316246978 | Leslie Diane Delfiner | Psychiatry & Neurology | 3415 Bainbridge Ave Fl 4, Bronx, NY 10467-2403 | 2011-03-22 |
1104132778 | Prokhorov's Pediatrics and Child Neurology PC | Psychiatry & Neurology | 9817 Queens Blvd, Ll2, Rego Park, NY 11374-3336 | 2010-08-20 |
1457679706 | Vijay Vishwanath | Psychiatry & Neurology | 391 Myrtle Ave Ste 1a, Albany, NY 12208-3797 | 2010-05-11 |
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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.