Provider Type Icon

EUGENE K. MERECKI MD PC NPI 1962527630


NPI Information

NPI: 1962527630
Provider Name: EUGENE K. MERECKI, MD PC

Doing Business As: MALTA FAMILY MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 33D0705737

Address:
100 SARATOGA VILLAGE BLVD STE 34
BALLSTON SPA, NY
ZIP 12020
Phone: (518) 899-2632
Get Directions

EUGENE K. MERECKI, MD PC is a primary care clinic center in Ballston Spa, NY. EUGENE K. MERECKI, MD PC NPI is 1962527630. The provider is registered as an organization entity type.
The provider Is Doing Business As Malta Family Medicine.

The provider's business location address is:

100 SARATOGA VILLAGE BLVD STE 34
BALLSTON SPA, NY
ZIP 12020-738
Phone: (518) 899-2632
Fax: (518) 899-6418

The provider's authorized official is Eugene K Merecki .
The authorized official title is Owner and has the following contact phone number (518) 899-2632.

The CLIA number assigned to this NPI record is 33D0705737 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2010.


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
1261QP2300XClinic/CenterPrimary Care180894NEW 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
1AA1411OTHERNEW YORKNATIONAL GOVERNMENT SERVICES

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.