COMMUNITY CARE PHYSICIANS, PC (NPI# 1306118096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306118096 |
| Entity Type | Organization |
| Organization Name | COMMUNITY CARE PHYSICIANS, PC |
| Other Organization Name | COMMUNITY CARE URGENT CARE - DELMAR |
| Practice Address |
250 Delaware Ave Delmar NY 12054-1420 |
| Mailing Address |
711 Troy Schenectady Rd Suite 203 Latham NY 12110-2442 |
| Practice Telephone | 5184398077 |
| Practice Fax Number | 5184398070 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-01-27 |
| Authorized Official Name | DIANE STAMAS (SENIOR CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5187823742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 227431 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Community Care Urgent Care - Delmar | 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 |
| 1285905786 | Community Care Physicians, PC | Internal Medicine | 199 Delaware Ave, Delmar, NY 12054-1229 | 2012-01-16 |
| 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 |
| Street Address |
250 DELAWARE AVE |
| City | DELMAR |
| State | NY |
| Zip Code | 12054-1420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881689867 | Richard Joseph Pryor | Emergency Medicine | 250 Delaware Ave, Delmar, NY 12054-1420 | 2005-09-15 |
| 1083193551 | Cheryl Lynne Bruen | Physical Therapist | 250 Delaware Ave, Delmar, NY 12054 | 2018-08-07 |
| 1205281102 | Alexandria A Sanchez | Nurse Practitioner | 250 Delaware Ave, Suite 100, Delmar, NY 12054-1401 | 2016-04-28 |
| 1588081558 | Community Care Physicians, PC | Surgery | 250 Delaware Ave, Suite 207, Delmar, NY 12054 | 2014-03-27 |
| 1427499490 | Elisa Hennessy | Physician Assistant | 250 Delaware Ave, Suite 100, Delmar, NY 12054-1420 | 2013-07-08 |
| 1427496561 | Kerry Elizabeth Millea | Nurse Practitioner | 250 Delaware Ave, Suite 100, Delmar, NY 12054-1401 | 2013-06-11 |
| 1013251222 | Community Care Physicians, PC | Obstetrics & Gynecology | 250 Delaware Ave, Suite 100, Delmar, NY 12054-1420 | 2012-11-15 |
| 1508119389 | Community Care Physicians, PC | Family Medicine | 250 Delaware Ave, Suite 100, Delmar, NY 12054-1420 | 2012-10-18 |
| 1063774933 | Orthopedicsny, LLP | Orthopaedic Surgery | 250 Delaware Ave, Suiet 200, Delmar, NY 12054 | 2012-06-15 |
| 1295007987 | Community Care Physicians, PC | Podiatrist | 250 Delaware Ave, Delmar, NY 12054-1420 | 2012-01-27 |
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| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861489981 | Robert Eugene Pike | Family Medicine | 17 Morningside Dr, Delmar, NY 12054-1115 | 2005-10-04 |
| 1104829357 | Philip T Drew | Family Medicine | 79 Paxwood Road, Delmar, NY 12054 | 2005-05-23 |
| 1326383928 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 5 Elm Ave, Delmar, NY 12054 | 2012-12-07 |
| 1508119389 | Community Care Physicians, PC | Family Medicine | 250 Delaware Ave, Suite 100, Delmar, NY 12054-1420 | 2012-10-18 |
| 1891002275 | Ann Carey Tobin | Family Medicine | 204 Delaware Ave, Delmar, NY 12054-1227 | 2010-09-08 |
| 1871751925 | Craig A Maier | Family Medicine | 250 Delaware Ave, Delmar, NY 12054-1420 | 2008-05-27 |
| 1336356039 | Forefront Medical Services, Pllc | Family Medicine | 785 Delaware Ave, Delmar, NY 12054-9713 | 2007-05-16 |
| 1891817102 | Ann Carey Tobin, M.d., Pllc | Family Medicine | 204 Delaware Ave, Delmar, NY 12054-1227 | 2007-04-06 |
| 1144302886 | Ernest Maclaren Enzien Jr. | Family Medicine | 5 Elm Ave, Delmar, NY 12054 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
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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.