1. Home
  2. Directory
  3. New York
  4. Latham
  5. Surgery
  6. NPI Profile

COMMUNITY CARE INTERVENTIONAL AND ENDOSCOPY SUITE
NPI 1083030506
Surgery in Latham, NY

Active since March 07, 2014CLIA 33D2302529 · Waiver
6 WELLNESS WAY STE G04, LATHAM, NY 12110(518) 785-5884 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Community Care Interventional And Endoscopy Suite NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COMMUNITY CARE INTERVENTIONAL AND ENDOSCOPY SUITE (NPI 1083030506) is a healthcare organization registered as a surgery in Latham, New York and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through April 10, 2028 and lists Debby Coons, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1083030506
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCOMMUNITY CARE PHYSICIANS, PLLC
Location Address6 WELLNESS WAY STE G04Latham, NY 12110-2135
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 785-5884
Organization SubpartNo
Authorized OfficialDebby CoonsCredentialing Coordinator · (518) 213-0478
Enumeration DateMarch 7, 2014
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
✔ NPI 1083030506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 198648
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6 WELLNESS WAY STE G04, Latham, NY 12110
Open in Google Maps ↗

Other Names 1

Doing Business AsCommunity Care Interventional And Endoscopy Suite

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2302529

Community Care Physicians PLLC Dba Interventional And Endooscopy Suite Comm Care · Latham, NY
Active · expires Apr 10, 2028
CLIA Number33D2302529
Laboratory TypePhysician Office
Certificate Effective DateApril 11, 2026
Certificate Expiration DateApril 10, 2028
Laboratory DirectorDr. Manish Mehta
Laboratory Phone(518) 785-5884
Laboratory LocationCommunity Care Physicians PLLC Dba Interventional And Endooscopy Suite Comm Care6 Wellness Way, Suite G04, Latham, NY 12110
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Community Care Physicians, PLLC's NPI number?

The NPI number for Community Care Physicians, PLLC is 1083030506. It was assigned to this organization in the NPPES registry on March 7, 2014. The provider is doing business as Community Care Interventional And Endoscopy Suite.

Where is Community Care Physicians, PLLC located?

Community Care Physicians, PLLC is located at 6 Wellness Way Ste G04, Latham, NY 12110. The listed phone number is (518) 785-5884.

What is Community Care Physicians, PLLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Does Community Care Physicians, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2302529) is associated with this NPI, valid through April 10, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Care Physicians, PLLC was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.