Active NPI
Laura Siedman-Albanese, MD
- Anesthesiology Physician
- New York, NY
National Provider Identifier
1245310473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G083386
- Practice address
- 622 W 168TH St PH 5-505
New York, NY 10032-3720 - Phone
- (212) 305-9876
- NPI assigned
- Oct 16, 2006
- Last updated
- Jan 24, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G083386 | NY | Primary |
| Pediatric Anesthesiology Physician | 207LP3000X | G083386 | CA | |
| Pediatric Anesthesiology Physician | 207LP3000X | G083386 | NY |
Addresses
Primary practice location
622 W 168TH St PH 5-505
New York, NY 10032-3720
Mailing address
622 W 168TH St PH 5-505
New York, NY 10032-3720
Phone (212) 305-9876
Other practice location 1
400 Parnassus Ave
Box 0368 Surgery Center Room A3
San Francisco, CA 94143-2202
Phone (415) 353-2384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83386 | CA | MD | Pharmacist |
| G083386 | NY | MD | Anesthesiology Physician |
| G083386 | CA | MD | Pediatric Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579824000000",
"number": "1245310473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST PH 5-505",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-305-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168TH ST PH 5-505",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323720",
"telephone_number": "212-305-9876"
}
],
"practiceLocations": [
{
"address_1": "400 Parnassus Ave",
"address_2": "Box 0368 Surgery Center Room A3",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432202",
"country_code": "US",
"telephone_number": "415-353-2384",
"fax_number": "415-353-2378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIEDMAN-ALBANESE",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2020-01-24",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "G083386",
"primary": true
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "CA",
"license": "G083386",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "NY",
"license": "G083386",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.