UPSTATE GASTROENTEROLOGY ASSOCIATES, PC
NPI 1255355830
Internal Medicine - Gastroenterology in Troy, NY

Active since July 27, 2006CLIA 33D0900040 · Waiver
2200 BURDETT AVE, TROY, NY 12180(518) 272-0234(518) 272-0906 Get Directions Write a Review

NPPES record last updated: May 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Upstate Gastroenterology Associates, Pc NPPES

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

UPSTATE GASTROENTEROLOGY ASSOCIATES, PC (NPI 1255355830) is a healthcare organization registered as a gastroenterology in Troy, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Frederick M Braunstein, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255355830
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameUPSTATE GASTROENTEROLOGY ASSOCIATES, PC
Location Address2200 BURDETT AVETroy, NY 12180-2451
Mailing Address2200 Burdett AveTroy, NY 12180-2451 · (518) 272-0234 · Fax (518) 272-0906
Fax(518) 272-0906
Organization SubpartNo
Authorized OfficialFrederick M BraunsteinCeo · (518) 272-1199
Enumeration DateJuly 27, 2006
Last NPPES UpdateMay 9, 2011
NPI 1255355830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2200 BURDETT AVE, Troy, NY 12180

Other Identifiers 2

OtherCC9024NY · Railroad Medicare
Medicare PIN50266ANY

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 33D0900040

Upstate Gastroenterology Assoc PC · Troy, NY
Active · expires Apr 13, 2027
CLIA Number33D0900040
Laboratory TypePhysician Office
Certificate Effective DateApril 14, 2025
Certificate Expiration DateApril 13, 2027
Laboratory DirectorFrederick M. Braunstein
Laboratory Phone(518) 272-0234
Laboratory LocationUpstate Gastroenterology Assoc PC2200 Burdett Avenue Suite 201-205, Troy, NY 12180
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 16

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

Physician Assistant
2200 BURDETT AVE
TROY, NY 12180
Physician Assistant
2200 BURDETT AVE, SUITE 201
TROY, NY 12180
Durable Medical Equipment & Medical Supplies
2200 BURDETT AVE, SUITE 101
TROY, NY 12180
Specialist
2200 BURDETT AVE, SUITE 103
TROY, NY 12180
Internal Medicine (Gastroenterology)
2200 BURDETT AVE
TROY, NY 12180
Ophthalmology
2200 BURDETT AVE, SUITE 206
TROY, NY 12180
Audiologist-Hearing Aid Fitter
2200 BURDETT AVE, 105
TROY, NY 12180
Orthopaedic Surgery
2200 BURDETT AVE, SUITE 202
TROY, NY 12180

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 Gastroenterology Associates, PC's NPI number?

The NPI number for Upstate Gastroenterology Associates, PC is 1255355830. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Upstate Gastroenterology Associates, PC located?

Upstate Gastroenterology Associates, PC is located at 2200 Burdett Ave, Troy, NY 12180. The listed phone number is (518) 272-0234.

What is Upstate Gastroenterology Associates, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Does Upstate Gastroenterology Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0900040) is associated with this NPI, valid through April 13, 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 Upstate Gastroenterology Associates, PC was last updated on May 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.