Individual provider Active NPI

Concetta Ferrari, CPNP-PC

  • Pediatric Nurse Practitioner
  • Albany, NY
National Provider Identifier
1063956225
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383579 Issued in NY
Practice address
25 Hackett Blvd
Albany, NY 12208-3462
Phone
(518) 262-3341
NPI assigned
Dec 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 685907-1 NY
Pediatric Nurse Practitioner 363LP0200X 14220 CT
Pediatric Nurse Practitioner 363LP0200X 383579 NY Primary

Addresses

Primary practice location

25 Hackett Blvd
Albany, NY 12208-3462

Mailing address

727 Salisbury Tpke
Rhinebeck, NY 12572-3047
Phone (518) 567-1137

Other practice location 1

11 Interlaken Rd
Lakeville, CT 06039-2130
Phone (860) 435-3226

Other practice location 2

6339 Mill St
Rhinebeck, NY 12572-1427
Phone (845) 871-1057

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
I20240318003314 NY Practitioner - Nurse Practitioner 9234576919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
685907-1NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jan 22, 2024 Accepting new patients
Albany Medical College CurrentSince Jan 22, 2024 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jan 22, 2024 Accepting new patients

Locations

25 Hackett Blvd
Albany, NY 12208
Phone (518) 262-1200

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

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

23 Hackett Blvd
#208
Albany, NY 12208
Phone (518) 262-3341

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

Interoperability endpoints

  • Direct secure messaging: cferrari24457@albanymed.direct-ci.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1063956225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 SALISBURY TPKE",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723047",
            "telephone_number": "518-567-1137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083462",
            "telephone_number": "518-262-3341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Interlaken Rd",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "CT",
            "postal_code": "060392130",
            "country_code": "US",
            "telephone_number": "860-435-3226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6339 Mill St",
            "address_purpose": "LOCATION",
            "city": "Rhinebeck",
            "state": "NY",
            "postal_code": "125721427",
            "country_code": "US",
            "telephone_number": "845-871-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRARI",
        "first_name": "CONCETTA",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "685907-1",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CT",
            "license": "14220",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.