Bellevue Woman's Medical Center, Inc.

Primary specialty

Women's HospitalTaxonomy code 282NW0100X

License

4652001H Issued in NY

Legal business name

BELLEVUE WOMAN'S MEDICAL CENTER, INC.

Doing business as

Bellevue Woman's Hospital

Practice address

2210 Troy Road
Niskayuna, NY 12309-4797

Phone

(518) 346-9400

Fax

(518) 346-9416

NPI assigned

Aug 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen Susko

Title

Chief Financial Officer

Phone

(518) 346-9411

Specialties & licenses 1

Addresses

Other names 1

• Bellevue Woman's Hospital Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477667145. Details of each certification follow.

• CCN 330339 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 330339

Legal name

BELLEVUE WOMAN'S HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Nov 1, 2007

Provider type (POS)

Hospital – Short-term

Participating since

Aug 18, 1966

Last certification

Feb 1, 2001

Beds

40

Ownership / control type

Private (not for profit)

Facility address

2210 Troy Road
Niskayuna, NY 12309

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477667145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 TROY ROAD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123094797",
            "telephone_number": "518-346-9400",
            "fax_number": "518-346-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 TROY ROAD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123094797",
            "telephone_number": "518-346-9400",
            "fax_number": "518-346-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE WOMAN'S MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SUSKO",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "518-346-9411",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NW0100X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Women",
            "state": "NY",
            "license": "4652001H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Woman's Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Barr, PMHNP
• Megan Beck, MS OTR/L
• Debra K Belkin, PH.D.
• Abby Bell
• Bellevue MFM LLC
• Andrea Berkowitz-Cerasano, LCSW-R
• Shannon Marie Bernard Adams, LMHC
• Michelle Lee Bisceglia, COTA
• Lakeia J. Bowman, LMHC
• Lucy Brady, LCSW-R

• General Acute Care Hospital in Niskayuna, NY
• Providers in Niskayuna, NY by specialty
• General Acute Care Hospital in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.