Organization Active NPI

Albany Medical College

Doing business as Albany Med Emurgentcare

  • Urgent Care Clinic/Center
  • West Coxsackie, NY
National Provider Identifier
1275964322
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ALBANY MEDICAL COLLEGE
Doing business as
Albany Med Emurgentcare
Practice address
11835 RT 9W
West Coxsackie, NY 12192-3605
Phone
(518) 731-9000
NPI assigned
Nov 27, 2013
Last updated
Apr 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

11835 RT 9W
West Coxsackie, NY 12192-3605

Mailing address

PO Box 417208
Boston, MA 02241-7208

Other names 1

  • ALBANY MED EMURGENTCARE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150311001351 NY DME Supplier - Multi-Specialty - Physician 1759293111 Practice locations: West Coxsackie, NY

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ben Chang MD41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

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

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1275964322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417208",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 RT 9W",
            "city": "WEST COXSACKIE",
            "state": "NY",
            "postal_code": "121923605",
            "telephone_number": "518-731-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY MEDICAL COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-27",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "VERDILE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "518-262-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALBANY MED EMURGENTCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Coxsackie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.