Organization Active NPI

Telemedicine Physical Care Provider, PLLC

  • Doula
  • Albany, NY
National Provider Identifier
1437080967
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Legal business name
TELEMEDICINE PHYSICAL CARE PROVIDER, PLLC
Practice address
418 Broadway Ste Y
Albany, NY 12207-2922
Phone
(408) 256-3180
Fax
(408) 372-0839
NPI assigned
May 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Priyanka Wali, MD
Title
Medical Director
Phone
(408) 256-3180

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X Primary

Addresses

Primary practice location

418 Broadway Ste Y
Albany, NY 12207-2922

Mailing address

418 Broadway Ste Y
Albany, NY 12207-2922
Phone (408) 256-3180

National Provider Directory

National Provider Directory

Locations

418 Broadway
Ste Y
Albany, NY 12207
Phone (408) 256-3180

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1437080967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 BROADWAY STE Y",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "408-256-3180",
            "fax_number": "408-372-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 BROADWAY STE Y",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122072922",
            "telephone_number": "408-256-3180",
            "fax_number": "408-372-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEMEDICINE PHYSICAL CARE PROVIDER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "WALI",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "408-256-3180",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "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 Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.