CAPITAL DISTRICT ORTHOTIC GROUP NPI 1912233065

NPI Information

  • NPI: 1912233065
  • Provider Name: CAPITAL DISTRICT ORTHOTIC GROUP
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 33D1041013
  • Address: 624 MCCLELLAN ST
    STE G05
    SCHENECTADY, NY
    ZIP 12304
  • Phone: (518) 370-3338

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NPI Details

CAPITAL DISTRICT ORTHOTIC GROUP is a general practice in Schenectady, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CAPITAL DISTRICT ORTHOTIC GROUP NPI is 1912233065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

624 MCCLELLAN ST
STE G05
SCHENECTADY, NY
ZIP 12304-020
Phone: (518) 370-3338
Fax: (518) 344-1229

The provider's authorized official is Robert Rattner .
The authorized official title is President and has the following contact phone number (518) 370-3338.

The CLIA number assigned to this NPI record is 33D1041013 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2009 and was last updated on 10/26/2009.

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
1208D00000XGeneral Practice180400-1NEW YORKYes

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
15341410001MEDICARE NSCNEW YORK

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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