PARK PLACE PEDIATRICS, LLC (NPI# 1962673327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962673327 |
| Entity Type | Organization |
| Organization Name | PARK PLACE PEDIATRICS, LLC |
| Practice Address |
701 Union St Schenectady NY 12305-1504 |
| Practice Telephone | 5183741610 |
| Practice Fax Number | 5183743512 |
| Mailing Telephone | 5183741610 |
| Mailing Fax Number | 5183743512 |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |
| Authorized Official Name | DR. HADI KOOHSARI (OWNER) |
| Authorized Official Telephone | 5183741610 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
208608 | NY | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477570026 | Park Place Pediatrics, LLC | Pediatrics | 2070 W Arlington Blvd Ste B, Greenville, NC 27834-3769 | 2006-07-17 |
| Street Address |
701 UNION ST |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12305-1504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063496768 | Hadi Koohsari | Pediatrics | 701 Union St, Schenectady, NY 12305-1504 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598282527 | Alexa Eugena Cinque | Chiropractor | 252 Union St, Schenectady, NY 12305 | 2017-08-30 |
| 1245778778 | Owanna Akbur | Radiologic Technologist | 752 Bolivar Ave., Torre G-32, Apt. A-2, La Esperilla, SANTO DOMINGO 12305 | 2017-02-04 |
| 1154777514 | Susan Mackert | Social Worker | 530 Franklin St Fl 2, Schenectady, NY 12305 | 2016-05-04 |
| 1285873513 | Kathleen Rzant Sheppard | Occupational Therapist | 25 Lafayette St., Beginnings, Schnectady, NY 12305 | 2009-02-10 |
| 1043461759 | Jane Stephanie Gray | Massage Therapist | 670 Franklin St., Schenectady, NY 12305 | 2008-10-01 |
| 1336283316 | Vision Care Associates | Optometrist | 600 Franklin Street, Suite 101, Schenectady, NY 12305 | 2007-02-16 |
| 1841360740 | Visiting Nurse Service Association of Schenectady County | Home Health | 108 Erie Blvd, Schenectady, NY 12305 | 2006-11-08 |
| 1275631814 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 415 State St Wallace Bldg, Schenectady, NY 12305 | 2006-09-20 |
| 1710953369 | Schenectady Ophthalmology Assoc PC | Ophthalmology | 650 Franklin St, Schenectady, NY 12305 | 2006-02-24 |
| 1861478786 | Kimberly A Hostig | Social Worker | 426 Franklin St, Schenectady, NY 12305 | 2005-12-22 |
| Find all providers in zip 12305 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528548823 | Ellis Hospital | Clinic/Center | 200 Harborside Drive, Suite 101, Schenectady, NY 12305-1020 | 2018-08-16 |
| 1699255190 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste 202, Schenectady, NY 12304-1020 | 2018-08-15 |
| 1023598331 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste G2, Schenectady, NY 12304-1024 | 2018-08-16 |
| 1013497502 | Ellis Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304 | 2018-08-15 |
| 1902386485 | Ellis Hospital | Clinic/Center | 624 Mcclellan St Ste 101, Schenectady, NY 12304-1020 | 2018-08-15 |
| 1285114777 | Ellis Hospital | Clinic/Center | 1201 Nott St Ste 204, Schenectady, NY 12308 | 2018-08-15 |
| 1558569129 | St. Clare's Hospital | Clinic/Center | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113346 | Community Pediatrics of Wny, Pllc | Clinic/Center | 741 Davison Rd, Lockport, NY 14094-5214 | 2020-10-27 |
| 1033718085 | Palliative Care Consulting Services | Clinic/Center | 1188 Fox St, Bronx, NY 10459-1810 | 2020-10-21 |
| 1821601352 | Xian Medical Care PC | Clinic/Center | 2010 Bay Ridge Pkwy, Brooklyn, NY 11204-5925 | 2020-08-25 |
| 1952920795 | Divine Medical LLC | Clinic/Center | 13163 233rd St # 1, Rosedale, NY 11422-1305 | 2020-04-12 |
| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
| 1851859961 | Lower Westchester Medical Associates, P.C. | Clinic/Center | 105 Stevens Ave Ste 305306, Mount Vernon, NY 10550-2686 | 2019-03-07 |
| Find all providers with the same taxonomy | ||||
| City | SCHENECTADY |
| Zip Code | 12305 |
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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.