SARATOGA NEUROLOGY SPECIALISTS (NPI# 1164055893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164055893 |
| Entity Type | Organization |
| Organization Name | SARATOGA NEUROLOGY SPECIALISTS |
| Other Organization Name | SARATOGA NEUROLOGY SPECIALISTS |
| Practice Address |
7 Southside Dr Clifton Park NY 12065-3887 |
| Practice Telephone | 6469577648 |
| Mailing Telephone | 6469577648 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | RICHARD JACKSON (OWNER) |
| Authorized Official Telephone | 6469577648 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RICHARD T JACKSON, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Saratoga Neurology Specialists | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3 Lear Jet Ln Ste 203, Latham, NY 121102322 | 5182584033 | 5182802275 |
| Street Address |
7 SOUTHSIDE DR |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-3887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386074557 | Elizabeth Harris | Psychologist | 7 Southside Dr, Suite 206, Clifton Park, NY 12065-3887 | 2013-11-25 |
| 1871995100 | Suzanne Quinn | Occupational Therapy Assistant | 7 Southside Dr, Suite206, Clifton Park, NY 12065-3887 | 2014-09-18 |
| 1871994509 | Lisa Battenhausen | Occupational Therapy Assistant | 7 Southside Dr, Clifton Park, NY 12065-3887 | 2014-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881013415 | Albany Medical College | Psychiatry & Neurology | 5 Southside Dr, Clifton Park, NY 12065-3870 | 2014-04-10 |
| 1215370390 | Neurology Clifton Park | Psychiatry & Neurology | 939 Route 146, Suite 810, Clifton Park, NY 12065-3662 | 2013-04-09 |
| 1346507365 | The Neurology Group, LLP | Psychiatry & Neurology | 5 Southside Dr, Suite 204, Clifton Park, NY 12065-3870 | 2012-04-16 |
| 1922177245 | Neurological & Stroke Care Pllc | Psychiatry & Neurology | 634 Plank Rd, Suite 106, Clifton Park, NY 12065 | 2006-11-08 |
| 1215006531 | Eugene D Kaplan | Psychiatry & Neurology | 634 Plank Rd, Suite 106, Clifton Park, NY 12065-2033 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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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.