NPIMap

Individual provider Active NPI

Albert Persia, M.D.

  • Family Medicine Physician
  • Jamestown, NY
National Provider Identifier
1154310266
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
210053 Issued in NY
Practice address
42 Dunham Ave
Jamestown, NY 14701-2514
Phone
(716) 665-7007
Fax
(716) 664-6131
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 210053 NY Primary

Addresses

Primary practice location

42 Dunham Ave
Jamestown, NY 14701-2514

Mailing address

95 East Chautauqua St
PO Box 168
Mayville, NY 14757-0168
Phone (716) 753-7107

Other identifiers 1

IdentifierTypeStateIssuer
01816999MedicaidNY

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
I20070531000403 NY Practitioner - Family Practice 6901904861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Health Medical Services PLLCGroup PAC ID 9133221666, 17 clinicians

Practice addresses (Care Compare)

715 Falconer St
Jamestown, NY 14701-1935
Phone (716) 655-4905

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions178
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210053NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Medical Services PLLC Family Medicine CurrentSince Jun 1, 2009 Accepting new patients
Gerry Homes Inc PastSince Jul 24, 2023 Accepting new patients
Family Health Medical Services Jamestown Convenience Care Family Medicine Past Accepting new patients
Gerry Homes Inc Past Accepting new patients
Catholic Charities of Buffalo Past Accepting new patients

Locations

3780 Eagle St
Fredonia, NY 14063
Phone (716) 672-3030

4570 Route 60
Gerry, NY 14740
Phone (716) 985-4612

320 Prather Ave
Ste 200
Jamestown, NY 14701
Phone (716) 338-9797

103 Allen St
Jamestown, NY 14701
Phone (716) 338-0022

150 Prather Ave
Jamestown, NY 14701
Phone (716) 269-4430

42 Dunham Ave
Jamestown, NY 14701
Phone (716) 484-9188

715 Falconer St
Jamestown, NY 14701
Phone (716) 487-0141

31 Sherman St
Ste 2200
Jamestown, NY 14701
Phone (716) 338-9797

95 E Chautauqua St
Mayville, NY 14757
Phone (716) 753-7107

189 E Main St
Westfield, NY 14787
Phone (716) 326-4921

216 E Main St
Westfield, NY 14787
Phone (716) 326-3240

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Heritage Green Health Care CenterGreenhurst, NY, CCN 335721 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 24, 2023
Jul 24, 2023
Heritage Park Rehab & Skilled NursingJamestown, NY, CCN 335142001 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 24, 2023
Jul 24, 2023

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Gerry Homes Inc

    dba Heritage Green Rehab & Skilled Nursing

    • Skilled Nursing Facility
    • Greenhurst, NY
    • NPI 1003812330

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Gerry Homes Inc

    dba Heritage Park Rehab & Skilled Nursing

    • Skilled Nursing Facility
    • Jamestown, NY
    • NPI 1366448706

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Gerry Homes Inc

    dba Heritage Green Outpatient Therapy Clinic

    • Comprehensive Outpatient Rehabilitation Facility (CORF)
    • Greenhurst, NY
    • NPI 1912090184

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1154310266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 EAST CHAUTAUQUA ST",
            "address_2": "PO BOX 168",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147570168",
            "telephone_number": "716-753-7107",
            "fax_number": "716-753-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 DUNHAM AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147012514",
            "telephone_number": "716-665-7007",
            "fax_number": "716-664-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSIA",
        "first_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "210053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01816999",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.