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NOTT STREET MEDICAL, PLLC
NPI 1154330892
Internal Medicine in Schenectady, NY

Active since August 05, 2006CLIA 33D1069403 · Waiver
1150 NOTT ST, SCHENECTADY, NY 12308(518) 374-1655(518) 374-1657 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nott Street Medical, Pllc NPPES

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

NOTT STREET MEDICAL, PLLC (NPI 1154330892) is a healthcare organization registered as an internal medicine in Schenectady, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through June 4, 2027 and lists Ali Mirza, Owner & Sole Member, as its authorized official.

NPPES Registry Identity

NPI1154330892
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNOTT STREET MEDICAL, PLLC
Location Address1150 NOTT STSchenectady, NY 12308-2426
Mailing Address1150 Nott StSchenectady, NY 12308-2426 · (518) 374-1655 · Fax (518) 374-1657
Phone(518) 374-1655
Fax(518) 374-1657
Organization SubpartNo
Authorized OfficialAli MirzaOwner & Sole Member · (518) 374-1655
Enumeration DateAugust 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1154330892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed · NONE
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1150 NOTT ST, Schenectady, NY 12308
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Other Identifiers 1

OtherH230NY · Cdphp

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

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 33D1069403

Nott Street Medical PLLC · Schenectady, NY
Active · expires Jun 4, 2027
CLIA Number33D1069403
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2025
Certificate Expiration DateJune 4, 2027
Laboratory DirectorAli Y. Mirza
Laboratory Phone(518) 374-1655
Laboratory LocationNott Street Medical PLLC1150 Nott Street, Schenectady, NY 12308
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ALI Y MIRZA MD
Internal Medicine
1150 NOTT ST, NOTT STREET MEDICAL PLLC
SCHENECTADY, NY 12308
Schenectady County (518) 374-1655
MS. ISABEL ROSE SALAMONE DNP
Nurse Practitioner (Adult Health)
1150 NOTT ST
SCHENECTADY, NY 12308
Schenectady County (518) 374-1655

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 Nott Street Medical, PLLC's NPI number?

The NPI number for Nott Street Medical, PLLC is 1154330892. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is Nott Street Medical, PLLC located?

Nott Street Medical, PLLC is located at 1150 Nott St, Schenectady, NY 12308. The listed phone number is (518) 374-1655.

What is Nott Street Medical, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Nott Street Medical, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1069403) is associated with this NPI, valid through June 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nott Street Medical, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.