1. Home
  2. Directory
  3. New York
  4. Halfmoon
  5. Clinic Center
  6. NPI Profile

ELLIS PRIMARY CARE - CLIFTON PARK
NPI 1639659931
Clinic/Center - Primary Care in Halfmoon, NY

Active since August 16, 2018CLIA 33D2039682 · Certificate of Compliance
103 SITTERLY RD STE 2300, HALFMOON, NY 12065(518) 579-2650 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Ellis Primary Care - Clifton Park NPPES

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

ELLIS PRIMARY CARE - CLIFTON PARK (NPI 1639659931) is a healthcare organization registered as a primary care in Halfmoon, New York and active in the NPI registry since August 2018. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027 and lists Paul A Milton, Ceo, as its authorized official.

NPPES Registry Identity

NPI1639659931
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameELLIS HOSPITAL
Location Address103 SITTERLY RD STE 2300Halfmoon, NY 12065-5646
Mailing Address103 Sitterly Rd Ste 2300Halfmoon, NY 12065-5646 · (518) 579-2650
Phone(518) 579-2650
Organization SubpartYes
Authorized OfficialPaul A MiltonCeo · (518) 243-4175
Enumeration DateAugust 16, 2018
✔ NPI 1639659931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 4601001H
103 SITTERLY RD STE 2300, Halfmoon, NY 12065
Open in Google Maps ↗

Other Names 1

Doing Business AsEllis Primary Care - Clifton Park

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 Compliance 33D2039682

Ellis Hospital Laboratory · Clifton Park, NY
Active · expires Mar 26, 2027
CLIA Number33D2039682
Laboratory TypeUrgent Care Center
Certificate Effective DateApril 16, 2012
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Xiaohe Yang
Laboratory Phone(518) 579-2904
Laboratory LocationEllis Hospital Laboratory103 Sitterly Rd, Clifton Park, NY 12065
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

MR. MICHAEL FRANCIS O'BRIEN PA-C
Physician Assistant
103 SITTERLY RD STE 2300
HALFMOON, NY 12065
Saratoga County (518) 579-2650
MAHUWA MUKHERJEE FNP
Nurse Practitioner (Family)
103 SITTERLY RD STE 2300
HALFMOON, NY 12065
Saratoga County (518) 579-2650
CHRISTINA MARIOTTI FNP
Nurse Practitioner (Family)
103 SITTERLY RD STE 2300
HALFMOON, NY 12065
Saratoga County (518) 579-2650

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 Ellis Hospital's NPI number?

The NPI number for Ellis Hospital is 1639659931. It was assigned to this organization in the NPPES registry on August 16, 2018. The provider is doing business as Ellis Primary Care - Clifton Park.

Where is Ellis Hospital located?

Ellis Hospital is located at 103 Sitterly Rd Ste 2300, Halfmoon, NY 12065. The listed phone number is (518) 579-2650.

What is Ellis Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Ellis Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 33D2039682) is associated with this NPI, valid through March 26, 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 Ellis Hospital was last updated on August 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.