Active NPI
Timothy Joseph Vinciguerra, M.D.
- Obstetrics & Gynecology Physician
- Albany, NY
National Provider Identifier
1376530014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 119640-1
- Practice address
- 391 Myrtle Ave Ste 200
Albany, NY 12208-3835 - Phone
- (518) 262-4942
- Fax
- (518) 262-5291
- NPI assigned
- Sep 27, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 119640-1 | NY | Primary |
Addresses
Primary practice location
391 Myrtle Ave Ste 200
Albany, NY 12208-3835
Mailing address
391 Myrtle Ave Ste 200
Albany, NY 12208-3835
Phone (518) 262-4942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00815009 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119640-1 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Obstetrics & Gynecology | Current | Accepting new patients |
Locations
16 New Scotland Ave
Fl 2
Albany, NY 12208
Phone (518) 262-4942
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
Organizations & group practices 1
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.
-
dba Albany Medical College Dept of PM&R
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556496000000",
"number": "1376530014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 MYRTLE AVE STE 200",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083835",
"telephone_number": "518-262-4942",
"fax_number": "518-262-5291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 MYRTLE AVE STE 200",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083835",
"telephone_number": "518-262-4942",
"fax_number": "518-262-5291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCIGUERRA",
"first_name": "TIMOTHY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2019-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "119640-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00815009",
"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 Apr 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.