COMMUNITY CARE PHYSICIANS, PC (NPI# 1912289992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912289992 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE PHYSICIANS, PC |
| Other Organization Name | CAPITALCARE NEPHROLOGY |
| Practice Address |
2125 River Rd Suite 303 Schenectady NY 12309-1135 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5188312500 |
| Practice Fax Number | 5188312510 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | DEBBY COONS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5182130478 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY CARE PHYSICIANS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
242021 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CapitalCare Nephrology | 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 |
2125 RIVER RD SUITE 303 |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12309-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174585608 | Naseer A Chowdhrey | Psychiatry & Neurology | 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 | 2006-04-03 |
| 1336550904 | Roberta Buckley Mansen | Nurse Practitioner | 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 | 2014-05-16 |
| 1306289483 | Community Care Physicians, PC | Psychiatry & Neurology | 2125 River Rd, Suite 303, Schenectady, NY 12309 | 2013-04-09 |
| 1699017350 | Community Care Physicians, PC | Internal Medicine | 2125 River Rd, Suite 301, Schenectady, NY 12309 | 2013-03-20 |
| 1336496025 | Angela Memmelaar | Nurse Practitioner | 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 | 2012-08-13 |
| 1972867323 | Linda Searfoss | Nurse Practitioner | 2125 River Rd, Suite 103, Schenectady, NY 12309-1135 | 2012-06-30 |
| 1063776540 | Certified Allergy Consultants, PC | Allergy & Immunology | 2125 River Rd, Schenectady, NY 12309-1135 | 2012-06-28 |
| 1891068490 | Community Care Physicians, PC | Radiology | 2125 River Rd, Suite 104, Schenectady, NY 12309-1135 | 2012-02-14 |
| 1104198894 | Community Care Physicians, PC | Family Medicine | 2125 River Rd, Suite 104, Schenectady, NY 12309-1135 | 2012-01-27 |
| 1720350408 | Community Care Physicians, PC | Family Medicine | 2125 River Rd, Suite 104, Schenectady, NY 12309-1135 | 2012-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1902396351 | Erica S Hill | Occupational Therapist | 2246 Van Rensselaer Dr, Niskayuna, NY 12309 | 2018-05-11 |
| 1588107015 | Orthopedicsny, LLP | Orthopaedic Surgery | 1760 Union St, Suite 100, Schenectady, NY 12309 | 2016-12-01 |
| 1932589983 | Patricia P Primomo | Dentist | 2310 Nott Street East, Niskayuna, NY 12309 | 2015-06-04 |
| 1386074268 | Bernard P Kinlan | Social Worker | 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 | 2013-11-14 |
| 1255680344 | Rudy Nydegger Phd, Abpp, Pllc | Psychologist | 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 | 2012-09-05 |
| 1407104094 | Rachelle Ann Kehoe | Specialist | 950 St. David's Lane, Schenectady, NY 12309 | 2012-08-29 |
| 1073882726 | Kristina Lynn Deangelo | Speech-Language Pathologist | 1872 Hexam Road West, Niskayuna, NY 12309 | 2011-12-27 |
| 1467720136 | Jjm Chiropractic, LLC | Chiropractor | 1756 Union St., Niskayuna, NY 12309 | 2011-12-08 |
| 1659658474 | Richard W Glover | Dentist | 2310 Nott St. East, Niskayuna, NY 12309 | 2011-11-08 |
| Find all providers in zip 12309 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700023868 | Michael Thomas Dirusso | Internal Medicine | 1201 Nott St, Suite203, Schenectady, NY 12308-2589 | 2009-01-12 |
| 1962590158 | Venkateswarar Voleti | Internal Medicine | 700 Mcclellan St, St. Clare's Medical Arts Bldg, Suite103, Schenectady, NY 12304-1019 | 2006-10-11 |
| 1669415501 | Jonathan Samuel Waldman | Internal Medicine | 1101 Nott St, Schenectady, NY 12308-2425 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171472 | Health Quest Medical Practice, PC | Internal Medicine | 667 Stoneleigh Ave Ste 123, Carmel, NY 10512-2455 | 2019-12-18 |
| 1881255370 | Marc J Yunis Md PC | Internal Medicine | 1100 Stewart Ave Ste 2, Garden City, NY 11530-4839 | 2019-06-25 |
| 1750841953 | Live Well Medical Care, PC | Internal Medicine | 178 Dahill Rd Ste 1, Brooklyn, NY 11218-2255 | 2019-03-22 |
| 1124509278 | Andre Francis Charest | Internal Medicine | 462 Grider St Fl 11, Buffalo, NY 14215-3021 | 2018-08-27 |
| 1760960132 | Hn&d Company LLC | Internal Medicine | 33 Walt Whitman Rd Ste 114, Huntington Station, NY 11746-3676 | 2018-07-30 |
| 1669979720 | Ambreen Azhar | Internal Medicine | St Lukes Hospital Mount Sinai, 1111 Amsterdam Ave, Nyc, NY 10025 | 2018-04-06 |
| 1659898443 | Broadway Medical Care, P.C. | Internal Medicine | 4117 Judge St Fl 1, Elmhurst, NY 11373-2343 | 2017-08-23 |
| 1023539590 | Ismail Omran | Internal Medicine | 7901 Broadway # C7-10, Elmhurst, NY 11373-1329 | 2017-07-05 |
| 1932636636 | Marco Bonilla | Internal Medicine | 8345 Lefferts Blvd Apt 2c, Kew Gardens, NY 11415-2516 | 2017-05-12 |
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12309 |
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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.