Individual provider Active NPI

John Patrick Verdini, D.O.

  • Neurology Physician
  • Albany, NY
National Provider Identifier
1346209418
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
179399 Issued in NY
Practice address
400 Patroon Creek Blvd
Suite 210
Albany, NY 12206-5012
Phone
(518) 459-8106
Fax
(518) 489-6441
NPI assigned
Mar 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 179399 NY Primary

Addresses

Primary practice location

400 Patroon Creek Blvd
Suite 210
Albany, NY 12206-5012

Mailing address

2 New Hampshire Ave
Suite 200
Troy, NY 12180-1753
Phone (518) 274-1947

Other identifiers 1

IdentifierTypeStateIssuer
013866869MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060912000315 NY Practitioner - Neurology 3476457375 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
179399NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Apr 1, 2014 Accepting new patients
Albany Medical College Neurology CurrentSince Apr 1, 2014 Accepting new patients
Albany Medical College Neurology CurrentSince Jun 1, 2019 Accepting new patients

Locations

400 Patroon Creek Blvd
Ste 210
Albany, NY 12206
Phone (518) 459-8106

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

2 New Hampshire Ave
Ste 200
Troy, NY 12180
Phone (518) 274-1947

Interoperability endpoints

  • Direct secure messaging: jverdini30470@albanymed.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1346209418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 200",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801753",
            "telephone_number": "518-274-1947",
            "fax_number": "518-274-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 PATROON CREEK BLVD",
            "address_2": "SUITE 210",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122065012",
            "telephone_number": "518-459-8106",
            "fax_number": "518-489-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDINI",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "179399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013866869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.