ANGELA MEMMELAAR


Address: 2125 River Rd, Suite 303, Schenectady, NY 12309-1135
Phone: 5183828350

ANGELA MEMMELAAR (NPI# 1336496025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336496025
Entity Type Individual
Full Name ANGELA MEMMELAAR
Credential NP
Practice Address 2125 River Rd
Suite 303
Schenectady
NY 12309-1135
Mailing Address 711 Troy Schenectady Rd Ste 203
Latham
NY 12110-2461
Practice Telephone 5183828350
Practice Fax Number 5183820345
Mailing Telephone 5187823700
Mailing Fax Number 5187823799
Enumeration Date 2012-08-13
Last Update Date 2018-01-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
306051 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 03494497 05
NY FIDELIS CARE NY 121109000005 01

Office Location

Street Address 2125 RIVER RD
SUITE 303
City SCHENECTADY
State NY
Zip Code 12309-1135

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174585608 Naseer A Chowdhrey Psychiatry & Neurology 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 2006-04-03
1336550904 Roberta Buckley Mansen Nurse Practitioner 2125 River Rd, Suite 303, Schenectady, NY 12309-1135 2014-05-16
1306289483 Community Care Physicians, PC Psychiatry & Neurology 2125 River Rd, Suite 303, Schenectady, NY 12309 2013-04-09
1699017350 Community Care Physicians, PC Internal Medicine 2125 River Rd, Suite 301, Schenectady, NY 12309 2013-03-20
1972867323 Linda Searfoss Nurse Practitioner 2125 River Rd, Suite 103, Schenectady, NY 12309-1135 2012-06-30
1063776540 Certified Allergy Consultants, PC Allergy & Immunology 2125 River Rd, Schenectady, NY 12309-1135 2012-06-28
1891068490 Community Care Physicians, PC Radiology 2125 River Rd, Suite 104, Schenectady, NY 12309-1135 2012-02-14
1104198894 Community Care Physicians, PC Family Medicine 2125 River Rd, Suite 104, Schenectady, NY 12309-1135 2012-01-27
1720350408 Community Care Physicians, PC Family Medicine 2125 River Rd, Suite 104, Schenectady, NY 12309-1135 2012-01-27
1043594476 Community Care Physicians, PC Internal Medicine 2125 River Rd, Suite 103, Schenectady, NY 12309-1135 2011-10-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154973071 Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center Clinic/Center 1769 Union Street, 3rd Floor, Niskayana, NY 12309 2019-07-11
1902396351 Erica S Hill Occupational Therapist 2246 Van Rensselaer Dr, Niskayuna, NY 12309 2018-05-11
1588107015 Orthopedicsny, LLP Orthopaedic Surgery 1760 Union St, Suite 100, Schenectady, NY 12309 2016-12-01
1932589983 Patricia P Primomo Dentist 2310 Nott Street East, Niskayuna, NY 12309 2015-06-04
1386074268 Bernard P Kinlan Social Worker 1 Ascot Lane, Terrace At Glen Eddy, Niskayuna, NY 12309 2013-11-14
1255680344 Rudy Nydegger Phd, Abpp, Pllc Psychologist 2317 Balltown Rd., Suite 203, Schenectady, NY 12309 2012-09-05
1407104094 Rachelle Ann Kehoe Specialist 950 St. David's Lane, Schenectady, NY 12309 2012-08-29
1073882726 Kristina Lynn Deangelo Speech-Language Pathologist 1872 Hexam Road West, Niskayuna, NY 12309 2011-12-27
1467720136 Jjm Chiropractic, LLC Chiropractor 1756 Union St., Niskayuna, NY 12309 2011-12-08
1659658474 Richard W Glover Dentist 2310 Nott St. East, Niskayuna, NY 12309 2011-11-08
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659900546 Wayne Elroy Chan Nurse Practitioner 504 State St, Schenectady, NY 12305-2414 2020-04-03
1518511831 Victoria Rose Every Nurse Practitioner 124 Rosa Rd, Suite 382, Schenectady, NY 12308 2019-07-25
1982163317 Isabel Rose Mendoza Nurse Practitioner 1150 Nott St, Schenectady, NY 12308-2426 2019-03-15
1972867323 Linda Searfoss Nurse Practitioner 2125 River Rd, Suite 103, Schenectady, NY 12309-1135 2012-06-30
1275841413 Charlene Busman Nurse Practitioner 214 State St, Schenectady, NY 12305-1806 2010-09-22
1811137946 Victoria Ann Gondar Nurse Practitioner 16 Crimson Oak Ct, Schenectady, NY 12309-2234 2009-03-03
1841477536 Shelly M Chank Nurse Practitioner 1040 State St, Schenectady, NY 12307-1508 2008-01-25
1861563108 Patricia Gaynor Nurse Practitioner 1040 State St, Schenectady, NY 12307-1508 2006-11-10
1588682702 Sharon Danielle Seaman Nurse Practitioner 1101 Nott St, Schenectady, NY 12308-2425 2006-07-17
1083648315 Sandra Mackinnon Perdek Nurse Practitioner 1101 Nott St, Schenectady, NY 12308-2425 2006-07-11
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Competitor

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City SCHENECTADY
Zip Code 12309

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Dataset Information

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.

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