AMSTERDAM ORTHOPEDICS, CHARLES J BERTUCH,JR,MD,PC (NPI# 1003051905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003051905 |
Entity Type | Organization |
Organization Name | AMSTERDAM ORTHOPEDICS, CHARLES J BERTUCH,JR,MD,PC |
Other Organization Name | CHARLES J BERTUCH, JR, MD, PC |
Practice Address |
124 Polar Plz Route 30 North Amsterdam NY 12010-1610 |
Practice Telephone | 5188432292 |
Practice Fax Number | 5188431515 |
Mailing Telephone | 5188432292 |
Mailing Fax Number | 5188431515 |
Enumeration Date | 2008-12-05 |
Last Update Date | 2008-12-05 |
Authorized Official Name | DR. CHARLES J BERTUCH JR. (PRESIDENT) |
Authorized Official Telephone | 5188432292 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 99421-1 | NY | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | RAILROAD MEDICARE | 0000CM0523 | 01 |
NY | 00553493 | 05 |
Other Name | Type Code |
---|---|
CHARLES J BERTUCH, JR, MD, PC | Doing Business As Name - Organization |
Street Address |
124 POLAR PLZ ROUTE 30 NORTH |
City | AMSTERDAM |
State | NY |
Zip Code | 12010-1610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447863816 | Julia Subik | Nurse Practitioner | 3768 Ny-30, Amsterdam, NY 12010 | 2020-08-26 |
1124674957 | Jessica Lee Benoit | Family Medicine | 5010 Ny-30, Amsterdam, NY 12010 | 2019-08-16 |
1679138986 | Martha Maria Staring | Counselor | 4988 Ny-30, Amsterdam, NY 12010 | 2019-05-02 |
1982169991 | Courtney Caralynn Paton | Nurse Practitioner | 446 B Guy Park Avenue, Amsterdam, NY 12010 | 2019-02-04 |
1053845628 | Linda Sue Sperow | Registered Nurse | 341 Church St., Amsterdam, NY 12010 | 2017-04-20 |
1376902734 | Nysarc Inc Montgomery County Chapter Liberty | Clinic/Center | 47 Liberty Dr, Amsterdam, NY 12010 | 2016-02-15 |
1780050880 | Pamela T Wadsworth | Occupational Therapist | 47 Liberty Drive, Amsterdam, NY 12010 | 2015-08-12 |
1366791600 | Nicole Cadwell | Licensed Practical Nurse | 34 Finlay St, Amsterdam, NY 12010 | 2012-08-31 |
1700147428 | Noah Reiss Md PC | Allergy & Immunology | 4456 State Hwy 30, Amsterdam, NY 12010 | 2012-05-30 |
1265723738 | Amy Martelle | Speech-Language Pathologist | 11 Liberty Street, Greater Amsterdam School District, Amsterdam, NY 12010 | 2011-05-02 |
Find all providers in zip 12010 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871002089 | Elizabeth Donna Page | Specialist | 43 Henrietta Blvd, Amsterdam, NY 12010-1110 | 2017-09-20 |
1639431901 | Theresa Marie Johnson | Specialist | 465 Locust Ave, Amsterdam, NY 12010-1927 | 2012-06-13 |
1104118306 | Sherri Korona | Specialist | 233 Guy Park Ave, Amsterdam, NY 12010-2334 | 2011-05-05 |
1861646440 | Amy L Vanevera | Specialist | 2360 County Highway 107, Amsterdam, NY 12010-6228 | 2008-11-10 |
1891977559 | Upstate Medical Associates Pllc | Specialist | 446b Guy Park Ave., Amsterdam, NY 12010-1005 | 2007-12-04 |
1942715453 | Jessica Thoman | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2017-12-06 |
1902268014 | Kelley Hasselbach | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2016-03-28 |
1902262207 | Johnathan Valovic | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2016-01-04 |
1194199216 | Eileen Hempstead | Specialist | 40 Henrietta Blvd, Amsterdam, NY 12010-1111 | 2015-12-01 |
1366839318 | Jennifer Nicole Nasadoski | Specialist | 40 Catherine St, Amsterdam, NY 12010-5118 | 2015-04-16 |
Find all providers in AMSTERDAM |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.