Organization Active NPI

Albany Medical College

  • Clinical Medical Laboratory
  • Albany, NY
National Provider Identifier
1063442986
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ALBANY MEDICAL COLLEGE
Practice address
47 New Scotland Ave
Albany, NY 12208-3412
Phone
(518) 262-5333
Fax
(518) 262-4933
NPI assigned
Jul 4, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Vincent P Verdile, M.D.
Title
Dean
Phone
(518) 262-3773

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

47 New Scotland Ave
Albany, NY 12208-3412

Mailing address

618 Central Ave
MC 106
Albany, NY 12206-1916
Phone (518) 262-9702

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1009312MedicaidVT
00842613MedicaidNY

Other names 1

NPPES NPI Registry
  • AMC NEONATAL PERINATAL LAB Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063442986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 CENTRAL AVE",
            "address_2": "MC 106",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061916",
            "telephone_number": "518-262-9702",
            "fax_number": "518-262-9707"
        },
        {
            "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": "518-262-5333",
            "fax_number": "518-262-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY MEDICAL COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VERDILE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "518-262-3773",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009312",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00842613",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMC NEONATAL PERINATAL LAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.