Organization Active NPI

Virtual Physician Practice (Ny), PLLC

  • General Practice Physician
  • Albany, NY
National Provider Identifier
1457080939
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
VIRTUAL PHYSICIAN PRACTICE (NY), PLLC
Practice address
845 Central Ave Ste 204
Albany, NY 12206-1514
Phone
(855) 408-1143
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Nichole McGrath
Title
Chief Growth Officer
Phone
(989) 372-8124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

845 Central Ave Ste 204
Albany, NY 12206-1514

Mailing address

PO Box 96361
Phoenix, AZ 85072-6361
Phone (518) 510-1774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260416000638 NY Part B Supplier - Clinic/Group Practice 7911473087 Receives reassigned benefits from 8 practitioners
Practice locations: Albany, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2335293Virtual Physician Practice (Ny), PLLC845 Central Ave Suite 204, Albany, NY 12206Certificate of waiverDec 8, 2027

National Provider Directory

National Provider Directory

Locations

3300 Washtenaw Ave
Ste 280
Ann Arbor, MI 48104
Phone (734) 329-5419

845 Central Ave
Ste 204
Albany, NY 12206
Phone (855) 408-1143

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1457080939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96361",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850726361",
            "telephone_number": "518-510-1774",
            "fax_number": "844-921-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 CENTRAL AVE STE 204",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061514",
            "telephone_number": "855-408-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRTUAL PHYSICIAN PRACTICE (NY), PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "CHIEF GROWTH OFFICER",
        "authorized_official_telephone_number": "989-372-8124"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.