NPIMap

Organization Active NPI

Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Niskayana, NY
National Provider Identifier
1154973071
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ALBANY MED NISKAYUNA AMBULATORY ENDOSCOPY AND SURGERY CENTER
Practice address
1769 Union Street
3Rd Floor
Niskayana, NY 12309
Phone
(518) 688-1880
Fax
(518) 881-0003
NPI assigned
Jul 11, 2019
Last updated
Jul 11, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ALBANY MEDICAL CENTER HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Ms. Frances S. Albert
Title
Evp, Coo, & Cfo
Phone
(518) 262-3579

Specialties & licenses 1

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

Addresses

Primary practice location

1769 Union Street
3Rd Floor
Niskayana, NY 12309

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080211000539 NY Part A Provider - Hospital 8224018999 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Albany, NY; Niskayuna, NY; Halfmoon, NY; Delmar, NY; Cohoes, NY; Clifton Park, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154973071. Details of each certification follow.

Hospital certification: CCN 330013

Legal name
ALBANY MEDICAL CENTER HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 18, 2025
Beds
732
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1849 in NY
Enrollment address
43 New Scotland Ave
Albany, NY 12208-3412
Main/Primary Hospital Location
Hospital subgroups
Acute care, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Albany Medical Center HospitalCCN 330013 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Albany Med Ctr Hospital9 organizations share this tax ID, including this one
Part of
Albany Med Ctr Hospital

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1769 Union St
Ste 3
Niskayuna, NY 12309
Phone (518) 382-1151

Ownership & related parties

All disclosed owners & managing parties 37

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dennis P McKenna Individual Corporate OfficerPresident Apr 1, 2020
Corporate Director Apr 1, 2020
Lisa J Moser Individual Corporate DirectorBoard Member Jul 1, 2020
Margaret J Gillis Individual Corporate DirectorBoard Member Jan 14, 2009
Frances S Albert Individual Corporate OfficerTreasurer Jul 1, 2016
Mary C Kahl Individual Corporate DirectorBoard Member (Emeritus) May 1, 1984
Mary G Biebel Individual Corporate DirectorBoard Member Jan 1, 2016
Morris C Massry Individual Corporate DirectorBoard Member Jul 1, 2015
John B O'Connor Individual Corporate DirectorBoard Member Jun 1, 2005
Albany Med Health System Organization, Albany, NY Non-profit Operational/Managerial Control Apr 12, 2021 100%
Glenda Kelman Individual Corporate DirectorBoard Member Jul 1, 2021
James J Barba Individual Corporate DirectorBoard Member Oct 8, 1982
Elizabeth Wood-Pustolka Individual Corporate Director Jul 1, 2023
Theresa M Skaine Individual Corporate Officer Jan 1, 2019
Candace K King Weir Individual Corporate DirectorBoard Member Aug 4, 1999
Shelly a Breton Individual W-2 Managing EmployeeVP - Revenue Cycle Services Dec 17, 2001
Sujata N Chaudhry Individual Corporate DirectorBoard Member Jul 1, 2020
James E Cullum Individual Corporate DirectorBoard Member Jul 1, 2021
Kirk Kneller Individual Corporate DirectorBoard Member Jul 1, 2022
Lillian M Moy Individual Corporate DirectorBoard Member Nov 1, 2006
Jeffrey D Stone Individual Corporate DirectorBoard Member Nov 5, 2008
Douglas Hamlin Individual Corporate DirectorBoard Member May 7, 2008
Daniel T. Pickett Individual Corporate DirectorBoard Member Mar 7, 2012
Sharon M Duker Individual Corporate DirectorBoard Member May 7, 2014
Frank L Messa Individual Corporate DirectorBoard Member Jul 25, 2025
Ruth H Mahoney Individual Corporate DirectorBoard Member Jul 1, 2015
John J Nigro Individual Corporate DirectorBoard Member Feb 6, 2006
Carolyn J Stefanco Individual Corporate DirectorBoard Member Sep 5, 2018
Anthony M Durante Individual Corporate DirectorBoard Member Sep 13, 2017
Raimundo C Archibold Individual Corporate DirectorBoard Member Mar 7, 2012
Robert T Cushing Individual Corporate DirectorBoard Member Feb 1, 2004
Carol H Kim Individual Corporate DirectorBoard Member Jul 1, 2020
Todd M Tidgewell Individual Corporate DirectorBoard Member Mar 3, 2010
Matthew C Jones Individual Corporate Officer Jul 5, 2017
David Collins Individual Corporate DirectorBoard Member Jul 25, 2025
Janice M White Individual Corporate DirectorBoard Member Jan 1, 2017
Jason Mouzakes Individual Corporate Officer May 1, 2024
Robert W Diesel Individual Corporate DirectorBoard Member Nov 2, 2005

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1,666

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,666

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1154973071",
    "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": "1769 UNION STREET",
            "address_2": "3RD FLOOR",
            "city": "NISKAYANA",
            "state": "NY",
            "postal_code": "12309",
            "telephone_number": "518-688-1880",
            "fax_number": "518-881-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY MED NISKAYUNA AMBULATORY ENDOSCOPY AND SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALBANY MEDICAL CENTER HOSPITAL",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "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": "518-262-3579",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.