Individual provider Active NPI

Anthony Raymond Mainella, RN

  • Administrator Registered Nurse
  • Albany, NY
National Provider Identifier
1477436079
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
743550 Issued in NY
Practice address
60 Academy Rd
Albany, NY 12208-3103
Phone
(518) 912-4808
Fax
(518) 514-1383
NPI assigned
Jul 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 743550 NY Primary

Addresses

Primary practice location

60 Academy Rd
Albany, NY 12208-3103

Mailing address

105 Hyde Blvd
Ballston Spa, NY 12020-1600
Phone (518) 461-9531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
743550NYMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1753833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1477436079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 HYDE BLVD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120201600",
            "telephone_number": "518-461-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 ACADEMY RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083103",
            "telephone_number": "518-912-4808",
            "fax_number": "518-514-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINELLA",
        "first_name": "ANTHONY",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-30",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "743550",
            "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 Jul 30, 2025; 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.