COMMUNITY CARE PHYSICIANS, PC (NPI# 1285905786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285905786 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE PHYSICIANS, PC |
| Other Organization Name | THE OFFICE OF MARINO BASELICE |
| Practice Address |
199 Delaware Ave Delmar NY 12054-1229 |
| Mailing Address |
711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 |
| Practice Telephone | 5184391131 |
| Practice Fax Number | 5184396306 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |
| Authorized Official Name | DIANE M STAMAS (SENIOR CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5187823742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 134658 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Office of Marino Baselice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073025888 | Community Care Physicians, PC | Surgery | 2520 Riverfront Ctr, Amsterdam, NY 12010-4614 | 2017-11-02 |
| 1255853065 | Community Care Physicians, PC | Family Medicine | 711 Troy Schenectady Rd Ste 109, Latham, NY 12110-2454 | 2017-07-13 |
| 1760808018 | Community Care Physicians, PC | Radiology | One Norton Avenue, Radiology Department Ao Fox Memorial Hospital, Oneonta, NY 13820 | 2014-03-11 |
| 1780956474 | Community Care Physicians, PC | Obstetrics & Gynecology | 5 Southside Dr, Suite 204, Clifton Park, NY 12065-3870 | 2012-01-27 |
| 1487937348 | Community Care Physicians, PC | Pediatrics | 3732 Carman Rd., Schenectady, NY 12303-5422 | 2011-09-27 |
| 1841573706 | Community Care Physicians, PC | Pediatrics | 942 A Route 146, Clifton Park, NY 12605-3614 | 2011-09-27 |
| 1104109065 | Community Care Physicians, PC | Internal Medicine | 2546 Balltown Road, Suite 200, Schenectady, NY 12309-1079 | 2011-09-27 |
| 1275816548 | Community Care Physicians, PC | Pediatrics | 6 Executive Park Drive, Albany, NY 12203-3791 | 2011-09-23 |
| 1093097586 | Community Care Physicians, PC | Family Medicine | 2524 Us Route 9w, Ravena, NY 12143-2804 | 2011-09-12 |
| 1659528966 | Community Care Physicians, PC | Radiology | 2546 Balltown Rd., Suite 100, Schenectady, NY 12309 | 2008-08-19 |
| Street Address |
199 DELAWARE AVE |
| City | DELMAR |
| State | NY |
| Zip Code | 12054-1229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344743 | Jared Russom | Specialist/Technologist | 13 Brookview Ave., Delmar, NY 12054 | 2020-10-17 |
| 1457825804 | Sharmon Michele Valerian | Physical Therapist | 241 Westchester Dr S, Delmar, NY 12054 | 2019-01-18 |
| 1821519935 | Jody Gail Ference | Occupational Therapist | 700 Delaware Ave., Bethlehem Central School District, Delmar, NY 12054 | 2017-06-28 |
| 1437688181 | Lullaby Lactation | Registered Nurse | 47 Crystal Lane, Delmar, NY 12054 | 2017-06-07 |
| 1306380852 | Katherine Mcguinness | Social Worker | 10 Hallwood Rd Ste D, Delmar, NY 12054 | 2016-12-16 |
| 1427465731 | Judy Marie Wilday | Registered Nurse | 30 Hunter Road, Delmar, NY 12054 | 2014-07-18 |
| 1063772226 | Fabiola Allisson Estrada | Physician Assistant | 99 Delaware Ave # Mc133, Delmar, NY 12054 | 2012-05-22 |
| 1366765075 | Carmen Lewis Panetta Jr. | Pharmacist | 293 Elm Aveune, Delmar, NY 12054 | 2010-03-09 |
| 1164669990 | Caroline Macrae | Speech-Language Pathologist | 16 Axbridge Lane, Delmar, NY 12054 | 2009-01-15 |
| 1316155336 | Sailaja Alapati | Anesthesiology | 18 Salem Road, Delmay, NY 12054 | 2007-05-21 |
| Find all providers in zip 12054 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225457039 | Daniil Niyazov | Internal Medicine | 250 Delaware Ave Ste 100, Delmar, NY 12054-1402 | 2014-04-09 |
| 1871880740 | Mohammad Mustafa Choudhry | Internal Medicine | 8990 Morgans Ridge Dr, Delmar, MD 21875-2083 | 2011-06-29 |
| 1366526162 | David Krischer | Internal Medicine | Delmar Medical Office, 250 Delaware Avenue, Delmar, NY 12054 | 2006-10-25 |
| 1225076375 | Khalil F Gorgui | Internal Medicine | 8 E Grove St, Delmar, DE 19940-1115 | 2006-06-02 |
| 1396798849 | Andrew D. Coates, M.d. | Internal Medicine | 808 Feura Bush Rd, Delmar, NY 12054-9792 | 2006-05-18 |
| 1043202070 | Robert R Quimby | Internal Medicine | 190 Delaware Ave, Delmar, NY 12054-1311 | 2005-08-16 |
| 1629060652 | Laura E Pica | Internal Medicine | 3 Normanskill Blvd, Delmar, NY 12054-1352 | 2005-08-16 |
| 1700103819 | Mariam Roth | Internal Medicine | 250 Delaware Ave, Suite 100, Delmar, NY 12054-1420 | 2010-04-28 |
| 1295994002 | Gloria Grace Guptill | Internal Medicine | 250 Delaware Ave, Delmar, NY 12054-1420 | 2008-06-06 |
| 1053531061 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 190 Delaware Ave, Delmar, NY 12054-1311 | 2007-05-01 |
| Find all providers in DELMAR | ||||
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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.