Organization Active NPI

Memorial Hospital, Albany, N.Y.

  • General Acute Care Hospital
  • Albany, NY
National Provider Identifier
1487901351
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0101003H Issued in NY
Legal business name
MEMORIAL HOSPITAL, ALBANY, N.Y.
Practice address
1440 Western Ave
Albany, NY 12203-3421
Phone
(518) 482-0214
NPI assigned
Aug 10, 2012
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL, ALBANY, N.Y.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Lori Santos
Title
Cfo
Phone
(518) 525-5537

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 0101003H NY
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 0101003H NY
General Acute Care Hospital 282N00000X 0101003H NY Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 0101003H NY
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 0101003H NY

Addresses

Primary practice location

1440 Western Ave
Albany, NY 12203-3421

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other names 1

  • Capital District Internal Medicine Other name

National Provider Directory

National Provider Directory
Tax ID family
Sleepy Hollow Family He4 organizations share this tax ID, including this one
Part of
Sleepy Hollow Family He

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1487901351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 WESTERN AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033421",
            "telephone_number": "518-482-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL, ALBANY, N.Y.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL, ALBANY, N.Y.",
        "enumeration_date": "2012-08-10",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-525-5537"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "0101003H",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "0101003H",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "0101003H",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "0101003H",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "0101003H",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital District Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 3, 2020; 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.