Active NPI
William Lundberg
- Student in an Organized Health Care Education/Training Program
- Albany, NY
National Provider Identifier
1346094596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 64970
- Practice address
- Dept. of Emergency Medicine, 43 New Scotland Avenue
Albany, NY 12208 - Phone
- (518) 262-6455
- NPI assigned
- Apr 15, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 64970 | Primary |
Addresses
Primary practice location
Dept. of Emergency Medicine, 43 New Scotland Avenue
Albany, NY 12208
Mailing address
Dept. of Emergency Medicine, 43 New Scotland Avenue
Albany, NY 12208
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)
- Not enrolled
Interoperability endpoints
- wlundberg89017@albanymed.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1346094596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT. OF EMERGENCY MEDICINE, 43 NEW SCOTLAND AVENUE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DEPT. OF EMERGENCY MEDICINE, 43 NEW SCOTLAND AVENUE",
"city": "ALBANY",
"state": "NY",
"postal_code": "12208",
"telephone_number": "518-262-6455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDBERG",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": "64970",
"primary": true
}
],
"identifiers": [],
"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 Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.