Individual provider Active NPI

Suzanne M Silverstein Mesidor, MD

  • Obstetrics & Gynecology Physician
  • Albany, NY
National Provider Identifier
1164416798
Registry record updated May 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
234930 Issued in NY
Practice address
113 Holland Ave
Albany, NY 12208-3410
Phone
(518) 626-5000
NPI assigned
Sep 9, 2005
Last updated
May 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 234930 NY Primary

Addresses

Primary practice location

113 Holland Ave
Albany, NY 12208-3410

Mailing address

113 Holland Ave
Albany, NY 12208-3410
Phone (518) 626-5000

Other practice location 1

71 Prospect Ave
Suite 110
Hudson, NY 12534-2907
Phone (518) 828-1400

Other identifiers 1

IdentifierTypeStateIssuer
02668142MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050725000360 NY Practitioner - Obstetrics/Gynecology 6507892049 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of GreeneGroup PAC ID 9133038219, 18 clinicians

Practice addresses (Care Compare)

411 Main St
Suite 300
Catskill, NY 12414-1366
Phone (518) 719-3580

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Obstetrics & Gynecology CurrentSince Jun 1, 2013 Accepting new patients
MVHS Inc CurrentSince Apr 1, 2014 Accepting new patients
Albany Medical College CurrentSince Jun 1, 2013 Accepting new patients
Albany Medical College Obstetrics & Gynecology CurrentSince Mar 28, 2022 Accepting new patients
Albany Medical College Obstetrics & Gynecology Current Accepting new patients
MVHS Inc CurrentSince Apr 1, 2014 Accepting new patients
County of Greene CurrentSince May 6, 2018 Accepting new patients

Locations

16 New Scotland Ave
Albany, NY 12208
Phone (518) 262-4942

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

411 Main St
Ste 300
Catskill, NY 12414
Phone (518) 719-3580

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

71 Prospect Ave
Ste 110
Hudson, NY 12534
Phone (518) 828-1400

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

Interoperability endpoints

  • Direct secure messaging: smesidor@greenecountyfamilyplanning.medentdirect.com
  • Direct secure messaging: smesidor27301@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1164416798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083410",
            "telephone_number": "518-626-5000",
            "fax_number": "518-626-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083410",
            "telephone_number": "518-626-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Prospect Ave",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125342907",
            "country_code": "US",
            "telephone_number": "518-828-1400",
            "fax_number": "518-828-6399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERSTEIN MESIDOR",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "234930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02668142",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.