Active NPI
Suzanne M Silverstein Mesidor, MD
- Obstetrics & Gynecology Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 234930
- Practice address
- 113 Holland Ave
Albany, NY 12208-3410 - Phone
- (518) 626-5000
- NPI assigned
- Sep 9, 2005
- Last updated
- May 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02668142 | Medicaid | NY |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Obstetrics & Gynecology | Current | Accepting new patients |
| MVHS Inc | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Obstetrics & Gynecology | Current | Accepting new patients |
| Albany Medical College | Obstetrics & Gynecology | Current | Accepting new patients |
| MVHS Inc | Current | Accepting new patients | |
| County of Greene | Current | 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
- smesidor@greenecountyfamilyplanning.medentdirect.com
- 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.
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
Obstetrics & Gynecology
-
dba Albany Medical College Dept of OBGYN
- Obstetrics & Gynecology Physician
- Albany, NY
- NPI 1164456067
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Dept of PM&R
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Obstetrics & Gynecology
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.