NPIMap

Organization Active NPI

Albany Medical College

Doing business as Albany Medical College Dept of Emergency Medicine

  • Emergency Medicine Physician
  • Albany, NY
National Provider Identifier
1174553093
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
ALBANY MEDICAL COLLEGE
Doing business as
Albany Medical College Dept of Emergency Medicine
Practice address
47 New Scotland Ave
MC 139
Albany, NY 12208-3412
Phone
(518) 262-3131
Fax
(518) 262-3597
NPI assigned
Jul 4, 2006
Last updated
Apr 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Vincent P Verdile, M.D.NPI 1023004835
Title
Dean
Phone
(518) 262-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Emergency Medicine Physician 207P00000X NU Primary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X NU

Addresses

Primary practice location

47 New Scotland Ave
MC 139
Albany, NY 12208-3412

Mailing address

1275 Broadway # Mc106
Menands, NY 12204-2638
Phone (518) 262-9705

Other identifiers 4

IdentifierTypeStateIssuer
01520676MedicaidNY
1006966MedicaidVT
01086593MedicaidNY
9766804MedicaidMA

Other names 1

  • ALBANY MEDICAL COLLEGE DEPT OF EMERGENCY MEDICINE Doing business as

National Provider Directory

National Provider Directory

Locations

47 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3773

Practitioners & affiliated clinicians

Practitioners 260

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 260

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1174553093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 BROADWAY # MC106",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122042638",
            "telephone_number": "518-262-9705",
            "fax_number": "518-262-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "MC 139",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-3131",
            "fax_number": "518-262-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY MEDICAL COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "VERDILE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "518-262-6008",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01520676",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006966",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01086593",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9766804",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALBANY MEDICAL COLLEGE DEPT OF EMERGENCY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALBANY MEDICAL COLLEGE DEPT OF EMERGENCY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.