NPIMap

Individual provider Active NPI

Justin John Hungerford, MD

  • Diagnostic Radiology Physician
  • Albany, NY
National Provider Identifier
1023513280
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
327849 Issued in NY
Practice address
47 New Scotland Ave
Albany, NY 12208-3412
Phone
(518) 262-3277
Fax
(518) 262-4210
NPI assigned
Mar 28, 2018
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 327849 NY Primary

Addresses

Primary practice location

47 New Scotland Ave
Albany, NY 12208-3412

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805004055 NY Practitioner - Diagnostic Radiology 9931453073 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical Center HospitalGroup PAC ID 8224018999, 45 clinicians
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5149

6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700

71 Prospect Ave
Hudson, NY 12534-2927
Phone (518) 828-7601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
327849NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital Current Accepting new patients
Columbia Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Albany Medical Center Hospital Diagnostic Radiology CurrentSince Aug 31, 2024 Accepting new patients
Columbia Memorial Hospital CurrentSince Jul 1, 2024 Accepting new patients
Duke University Health System Inc Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Community Care Physicians, PLLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients

Locations

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

43 New Scotland Ave
#50
Albany, NY 12208
Phone (518) 262-3593

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

6 Wellness Way
Latham, NY 12110
Phone (518) 641-3000

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: jhungerford548107@direct.medicine.duke.edu
  • Direct secure messaging: jhungerford93436@albanymed.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1023513280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-3277",
            "fax_number": "518-262-4210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "JUSTIN",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-28",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "327849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.