Organization Active NPI

Vascular Surgery Clinic of Amch

  • Ambulatory Surgical Clinic/Center
  • Albany, NY
National Provider Identifier
1134773401
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VASCULAR SURGERY CLINIC OF AMCH
Practice address
391 Myrtle Avenue
5TH Floor
Albany, NY 12208
Phone
(518) 262-5640
Fax
(518) 262-5110
NPI assigned
Jul 25, 2019
Organization subpart
Yes
Parent organization
ALBANY MEDICAL CENTER HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Authorized official

Name
Mrs. Frances S Albert
Title
Evp, Coo, Cfo
Phone
(518) 262-3125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

391 Myrtle Avenue
5TH Floor
Albany, NY 12208

Mailing address

43 New Scotland Avenue
MC-13
Albany, NY 12208-3412
Phone (866) 242-7476

Other identifiers 1

IdentifierTypeStateIssuer
03000364MedicaidNY

National Provider Directory

National Provider Directory
Part of
Vascular Surgery Clinic of Amch

NPI Registry JSON

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

{
    "created_epoch": "1564012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1134773401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVENUE",
            "address_2": "MC-13",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "866-242-7476",
            "fax_number": "518-262-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVENUE",
            "address_2": "5TH FLOOR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR SURGERY CLINIC OF AMCH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBANY MEDICAL CENTER HOSPITAL",
        "enumeration_date": "2019-07-25",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EVP, COO, CFO",
        "authorized_official_telephone_number": "518-262-3125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03000364",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 25, 2019; 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.