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UPSTATE WELLNESS AND AESTHETIC SERVICES
NPI 1083563936
Nurse Practitioner - Primary Care in Albany, NY

Active since January 24, 2026
200 WASHINGTON AVENUE EXT, ALBANY, NY 12203(518) 456-2000 Get Directions Write a Review

NPPES record last updated: January 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Upstate Wellness And Aesthetic Services NPPES

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

UPSTATE WELLNESS AND AESTHETIC SERVICES (NPI 1083563936) is a healthcare organization registered as a primary care in Albany, New York and active in the NPI registry since January 2026. The organization lists Wayne Elroy Chan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083563936
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameUPSTATE WELLNESS AND AESTHETIC SERVICES
Location Address200 WASHINGTON AVENUE EXTAlbany, NY 12203-5394
Mailing Address99 Wall St Ste 2071New York, NY 10005-4301 · (518) 428-8610
Phone(518) 456-2000
Organization SubpartNo
Authorized OfficialWayne Elroy ChanCeo · (518) 428-8610
Enumeration DateJanuary 24, 2026
NPPES CertifiedJanuary 23, 2026
✔ NPI 1083563936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
200 WASHINGTON AVENUE EXT, Albany, NY 12203
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH PREDMORE
Nurse Practitioner (Family)
200 WASHINGTON AVENUE EXT
ALBANY, NY 12203
Albany County (518) 456-2000
GERIATRIC PSYCHIATRY CONSULTANT, PLLC
Psychiatry & Neurology (Geriatric Psychiatry)
200 WASHINGTON AVENUE EXT
ALBANY, NY 12203
Albany County (518) 229-0807
TERESIAN HOUSE NURSING HOME CO INC
Skilled Nursing Facility
200 WASHINGTON AVENUE EXT
ALBANY, NY 12203
Albany County (518) 456-2000
EMILY MONICA PEARCE OTR/L
Occupational Therapist
200 WASHINGTON AVENUE EXT
ALBANY, NY 12203
Albany County (518) 456-2000
WAYNE CHAN NP IN ADULT HEALTH PLLC
Nurse Practitioner (Adult Health)
200 WASHINGTON AVENUE EXT
ALBANY, NY 12203
Albany County (518) 428-8610
JC NP FAMILY HEALTH PLLC
Nurse Practitioner (Family)
200 WASHINGTON AVENUE EXT
ALBANY, NY 12203
Albany County (518) 275-5479

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 Upstate Wellness And Aesthetic Services's NPI number?

The NPI number for Upstate Wellness And Aesthetic Services is 1083563936. It was assigned to this organization in the NPPES registry on January 24, 2026.

Where is Upstate Wellness And Aesthetic Services located?

Upstate Wellness And Aesthetic Services is located at 200 Washington Avenue Ext, Albany, NY 12203. The listed phone number is (518) 456-2000.

What is Upstate Wellness And Aesthetic Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Upstate Wellness And Aesthetic Services was last updated on January 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.