Individual provider Active NPI

Laney Rae Comitale, PA-C

  • Physician Assistant
  • Troy, NY
National Provider Identifier
1063614618
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011921 Issued in NY
Practice address
2215 Burdett Ave
Troy, NY 12180
Phone
(518) 271-3450
Fax
(518) 271-3131
NPI assigned
Jun 5, 2007
Last updated
May 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011921 NY Primary

Addresses

Primary practice location

2215 Burdett Ave
Troy, NY 12180

Mailing address

2215 Burdett Ave
Emergency Room- Samariton Hospital
Troy, NY 12180
Phone (518) 271-3450

Other practice location 1

1300 Massachusetts Avenue
St. Peter's Urgent Care
Troy, NY 12180
Phone (518) 271-3300

Other names 1

  • Ms. Laney Rae Winkler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071128000399 NY Practitioner - Physician Assistant 8022107002 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Physician Assistant CurrentSince Apr 20, 2019 Accepting new patients
Capital Region Physical Therapy, PLLC PastSince Oct 23, 2006 Accepting new patients
Capital Region Neurosurgery, PLLC Past Accepting new patients

Locations

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: lcomitale788160@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1063614618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVE",
            "address_2": "EMERGENCY ROOM- SAMARITON HOSPITAL",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-271-3450",
            "fax_number": "518-271-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-271-3450",
            "fax_number": "518-271-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Massachusetts Avenue",
            "address_2": "St. Peter's Urgent Care",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "12180",
            "country_code": "US",
            "telephone_number": "518-271-3300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMITALE",
        "first_name": "LANEY",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "011921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANEY",
            "last_name": "WINKLER",
            "middle_name": "RAE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.