Active NPI
Pine Hills Family Medicine, PLLC
- Family Medicine Physician
- Albany, NY
National Provider Identifier
1437339793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PINE HILLS FAMILY MEDICINE, PLLC
- Practice address
- 527 Western Ave
Albany, NY 12203-1721 - Phone
- (518) 482-1570
- NPI assigned
- Nov 5, 2007
- Last updated
- May 2, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Victor Lee Tulchinsky, DO
- Title
- Owner
- Phone
- (518) 482-1570
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
527 Western Ave
Albany, NY 12203-1721
Mailing address
255 Lark St
Albany, NY 12210-1108
Phone (518) 482-1570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
255 Lark St
Albany, NY 12210
Phone (518) 482-1570
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Family Medicine Physician
- Albany, NY
- NPI 1720072952
-
- Psychiatry Physician
- Schenectady, NY
- NPI 1649364969
-
- Metabolic Nutrition Registered Dietitian
- Albany, NY
- NPI 1154502714
-
- Clinical Social Worker
- Albany, NY
- NPI 1669697231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367452800000",
"number": "1437339793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 LARK ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122101108",
"telephone_number": "518-482-1570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "527 WESTERN AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122031721",
"telephone_number": "518-482-1570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINE HILLS FAMILY MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-05",
"last_updated": "2013-05-02",
"status": "A",
"authorized_official_last_name": "TULCHINSKY",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "518-482-1570",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"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 May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.