NORTHEASTTELEMEDICINE – NPI #1942829759
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

NPI Profile
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NORTHEASTTELEMEDICINE is a provider located in DIAMOND POINT, NY. NPPES has assigned the NPI number 1942829759 to NORTHEASTTELEMEDICINE on April 11, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

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 NORTHEASTTELEMEDICINE below.

NPI Profile for
NORTHEASTTELEMEDICINE

NPI Number

1942829759

Enumeration Date

Apr 11, 2020
(more than 6 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

NORTHEASTTELEMEDICINE

Primary location

483 COOLIDGE HILL RD
DIAMOND POINT, NY 12824

Phone: (518) 260-1882

Mailing address

Same as primary location

Organization Subpart

Authorized Official

THOMAS GAVIN
PHYSICIAN ASSISTANT
Phone: (518) 260-1882

Updated

Apr 11, 2020

Certification Date

Apr 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208D00000X - General Practice (Primary)

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.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

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