Active NPI
St. Peters Health Partners Medical Associates PC
- Neurology Physician
- Rensselaer, NY
National Provider Identifier
1154744753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
- Practice address
- 279 Troy Rd
Rensselaer, NY 12144-9518 - Phone
- (518) 694-3053
- Fax
- (518) 694-3056
- NPI assigned
- Feb 3, 2014
- Organization subpart
- Yes
- Parent organization
- ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Gordon
- Title
- Cfo
- Phone
- (518) 525-1585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
279 Troy Rd
Rensselaer, NY 12144-9518
Mailing address
279 Troy Rd
Rensselaer, NY 12144-9518
Phone (518) 694-3053
National Provider Directory
National Provider Directory- Part of
- St Peter'S Health Partners Medical Associates PC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Castleton, NY
- NPI 1619936200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433808000000",
"number": "1154744753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 TROY RD",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121449518",
"telephone_number": "518-694-3053",
"fax_number": "518-694-3056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 TROY RD",
"city": "RENSSELAER",
"state": "NY",
"postal_code": "121449518",
"telephone_number": "518-694-3053",
"fax_number": "518-694-3056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC",
"enumeration_date": "2014-02-03",
"last_updated": "2015-06-09",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "518-525-1585"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rensselaer, NY
- St. Peter'S Health Partners Medical Associates, P.C.
- St. Peter'S Health Partners Medical Associates, P.C.
- St. Peter'S Health Partners Medical Associates, PC
- St. Peter'S Health Partners Medical Associates, PC
- St. Peter'S Hospital of the City of Albany
- St. Peters Health Partners Medical Associates PC
- Katy Staats
- Nina Theresa Statile, NP
- Gregory Borisovich Stepanets, MD
- Steven M Kosoff DDS PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.