COMMUNITY CARE PHYSICIANS PC NPI 1811946775

NPI Information

NPI: 1811946775
Provider Name: COMMUNITY CARE PHYSICIANS, PC

Former Legal Business Name: CAPITALCARE MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
501 NEW KARNER RD
SUITE 1A
ALBANY, NY
ZIP 12205
Phone: (518) 452-1337
Get Directions

COMMUNITY CARE PHYSICIANS, PC is a family medicine in Albany, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. COMMUNITY CARE PHYSICIANS, PC NPI is 1811946775. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Capitalcare Medical Group.

The provider's business location address is:

501 NEW KARNER RD
SUITE 1A
ALBANY, NY
ZIP 12205-882
Phone: (518) 452-1337
Fax: (518) 724-6660

The provider's authorized official is Debby Coons .
The authorized official title is Credentialing Manager and has the following contact phone number (518) 213-0478.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 3/14/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	133V00000X	Dietitian, Registered			No
2	207K00000X	Allergy & Immunology			No
3	207Q00000X	Family Medicine			Yes
4	207R00000X	Internal Medicine			No
5	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism		No
6	207RN0300X	Internal Medicine	Nephrology		No
7	207RP1001X	Internal Medicine	Pulmonary Disease		No
8	207RP1001X	Internal Medicine	Pulmonary Disease	NEW YORK	No
9	208000000X	Pediatrics			No
10	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics		No
11	2084N0400X	Psychiatry & Neurology	Neurology		No
12	208M00000X	Hospitalist		NEW YORK	No
13	363A00000X	Physician Assistant			No
14	363L00000X	Nurse Practitioner			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3416	OTHER	NEW YORK	CDPHP GROUP ID NUMBER
2	02177719	MEDICAID	NEW YORK
3	94866	OTHER	NEW YORK	MVP GROUP ID NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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