NPIMap

Organization Active NPI

Albany Medical College

Doing business as Comprehensive Spine Center

  • Neurological Surgery Physician
  • Albany, NY
National Provider Identifier
1467801332
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
ALBANY MEDICAL COLLEGE
Doing business as
Comprehensive Spine Center
Practice address
391 Myrtle Ave
Suite 1B
Albany, NY 12208-3513
Phone
(518) 264-2225
NPI assigned
Jun 10, 2016
Last updated
Apr 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Vincent Verdile, MD
Title
Dean
Phone
(518) 262-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X NU Primary

Addresses

Primary practice location

391 Myrtle Ave
Suite 1B
Albany, NY 12208-3513

Mailing address

1275 Broadway
Menands, NY 12204-2638
Phone (518) 262-9705

Other names 1

  • Comprehensive Spine Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150618001757 NY Part B Supplier - Hospital Department(S) 1759293111 Receives reassigned benefits from 156 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Troy, NY; Rotterdam, NY; Niskayuna, NY; Mechanicville, NY; Guilderland, NY; Glenmont, NY; Glenville, NY; Albany, NY…

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

377 Church St
Ste 2
Saratoga Springs, NY 12866
Phone (518) 262-7193

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1467801332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 BROADWAY",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122042638",
            "telephone_number": "518-262-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE",
            "address_2": "SUITE 1B",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083513",
            "telephone_number": "518-264-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY MEDICAL COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "VERDILE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "DEAN",
        "authorized_official_telephone_number": "518-262-6008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Spine Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Comprehensive Spine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.