ADIRONDACK REGISTERED PROFESSIONAL NURSING SERVICES PLLC NPI 1023240454

NPI Information

  • NPI: 1023240454
  • Provider Name: ADIRONDACK REGISTERED PROFESSIONAL NURSING SERVICES PLLC
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Organization
  • Doing Business As: ADIRONDACK HEALTH AND WELLNESS
  • CLIA Number: 33D2001059
  • Address: 100 SARATOGA VILLAGE BLVD STE 51
    MALTA, NY
    ZIP 12020
  • Phone: (518) 886-8251

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NPI Details

ADIRONDACK REGISTERED PROFESSIONAL NURSING SERVICES PLLC is a nursing care in Malta, NY. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. ADIRONDACK REGISTERED PROFESSIONAL NURSING SERVICES PLLC NPI is 1023240454. The provider is registered as an organization entity type.
The provider Is Doing Business As Adirondack Health And Wellness.

The provider's business location address is:

100 SARATOGA VILLAGE BLVD STE 51
MALTA, NY
ZIP 12020-738
Phone: (518) 886-8251
Fax: (518) 400-1069

The provider's authorized official is Kristen Pommenville .
The authorized official title is Executive Director Of Operations and has the following contact phone number (518) 886-8251.

The CLIA number assigned to this NPI record is 33D2001059 - health fair with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Sarscov2 vac 50mcg/0.25ml im (HCPCS:91306)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Sarscov2 vac 30 mcg trs-sucr (HCPCS:91305)
  • Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted, for intramuscular use (HCPCS:91300)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent, 0.5 ml dosage (HCPCS:90688)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)

The enumeration date for this NPI number is 8/18/2009 and was last updated on 3/20/2020.

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 Number License State Primary
1291U00000XClinical Medical Laboratory33D2001059NEW YORKNo
2251J00000XNursing CareYes

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: 11/21/2025

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