IMAGECARE GUILDERLAND – NPI #1073760385
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

IMAGECARE GUILDERLAND is a radiologist located in GUILDERLAND, NY. NPPES has assigned the NPI number 1073760385 to IMAGECARE GUILDERLAND on August 19, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “IMAGECARE GUILDERLAND” is a dba name, the actual legal business name for this organization is COMMUNITY CARE PHYSICIANS, PC. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 7 years ago on Mar 15, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for IMAGECARE GUILDERLAND below.

NPI Profile for
COMMUNITY CARE PHYSICIANS, PC

NPI Number
1073760385
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COMMUNITY CARE PHYSICIANS, PC
Doing Business As (dba): IMAGECARE GUILDERLAND
Primary location
3757 CARMAN RD
SUITE 102
GUILDERLAND, NY 12303
Phone: (518) 881-1188 Fax: (518) 881-1192
Mailing address
711 TROY SCHENECTADY RD STE 203
LATHAM, NY 12110-2461
Phone: (518) 782-3700 Fax: (518) 782-3799
Organization Subpart
Yes - IMAGECARE GUILDERLAND is subpart of another organization.
Authorized Official
DEBBY COONS
CREDENTIALING MANAGER
Phone: (518) 213-0478
Updated
Identifiers

Identifiers for IMAGECARE GUILDERLAND

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNY01322398
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 NY 176417

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.