Active NPI
Howard Paul Terry, MD
- Cardiovascular Disease Physician
- Albany, NY
National Provider Identifier
1336208354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 142628
- Practice address
- Two Executive Park Drive
Albany, NY 12203 - Phone
- (518) 482-7964
- NPI assigned
- Dec 6, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 142628 | NY | Primary |
Addresses
Primary practice location
Two Executive Park Drive
Albany, NY 12203
Mailing address
Two Executive Park Drive
Albany, NY 12203
Phone (518) 482-7964
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31181 | Other | NY | MOHAWK VALLEY HEALTH |
| 78E261 | Other | NY | EMPIRE BLUE CROSS |
| 10002032 | Other | NY | CAPITAL DISTRICT PHYSICIA |
| 000405737001 | Other | NY | BLUE SHIELD OF NORTHEASTE |
| 00850179 | Medicaid | NY |
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 |
|---|---|---|---|
| 142628 | NY | MD | Cardiovascular Disease Physician |
Interoperability endpoints
- hterry30108@albanymed.direct-ci.com
- hterry917036@direct.trinity-health.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336208354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "TWO EXECUTIVE PARK DRIVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12203",
"telephone_number": "518-482-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "TWO EXECUTIVE PARK DRIVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12203",
"telephone_number": "518-482-7964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRY",
"first_name": "HOWARD",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "142628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOHAWK VALLEY HEALTH",
"identifier": "31181",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS",
"identifier": "78E261",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL DISTRICT PHYSICIA",
"identifier": "10002032",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF NORTHEASTE",
"identifier": "000405737001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00850179",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.