AMSTERDAM UROLOGY ASSOCIATES PC (NPI# 1083708283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083708283 |
| Entity Type | Organization |
| Organization Name | AMSTERDAM UROLOGY ASSOCIATES PC |
| Practice Address |
425 Guy Park Avenue Suite 203 Amsterdam NY 12010 |
| Practice Telephone | 5188431449 |
| Practice Fax Number | 5188438215 |
| Mailing Telephone | 5188431449 |
| Mailing Fax Number | 5188438215 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MOHAMMAD REZA GHAZI-MOGHADAM (PHYSICIAN) |
| Authorized Official Telephone | 5188431449 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 1326381 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MVP | 24109 | 01 | |
| NY | 00557268 | 05 | |
| CDPHP | 10000753 | 01 |
| Street Address |
425 GUY PARK AVENUE SUITE 203 |
| City | AMSTERDAM |
| State | NY |
| Zip Code | 12010 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787955 | Alexandra Gavalo-yacco | Urology | 100 S Bedford Rd, Mount Kisco, NY 10549-3425 | 2020-07-22 |
| 1710503230 | Alan Hugh Bennett | Urology | 592 State Route 28, Raquette Lake, NY 13436-1907 | 2020-06-20 |
| 1518587294 | Nitin Sharma | Urology | 755 N Broadway Ste 510, Sleepy Hollow, NY 10591-1084 | 2020-04-22 |
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1659917243 | Hanan Goldberg | Urology | 1676 Sunset Ave Fl 2, Utica, NY 13502-5416 | 2019-11-19 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1902464720 | Manzoor Ul Mahbub | Urology | 8268 164th St Rm P129, Jamaica, NY 11432-1121 | 2019-06-05 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| Find all providers with the same taxonomy | ||||
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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.