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Community Care Physicians, PC

Internal Medicine in Schenectady, NY. Organization (NPI-2).

NPI number1043594476
StatusActive
Last updated in NPPESOct 10, 2024

Details

NPI
1043594476
Entity type
Organization (NPI-2)
Legal business name
Community Care Physicians, PC
Organization subpart
No
Enumeration date
Oct 4, 2011
Certification date
Oct 10, 2024
Last updated
Oct 10, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine160342NYYes

Other names

  • Niskayuna Internal Medicine (Doing Business As)

Practice location

2125 River Rd Ste 103
Schenectady, NY 12309-1108

Phone 518-382-7500 · Fax 518-382-7572

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156

Phone 518-782-3700 · Fax 518-782-3799

Authorized official

Diane M Stamas
Senior Credentialing Coordinator
5187823742

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine Physician providers in Schenectady, NY

All 39 Internal Medicine Physician providers in Schenectady · All 3,004 providers in Schenectady

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