Active NPI
Memorial Hospital, Albany, N.Y.
- General Acute Care Hospital
- Albany, NY
National Provider Identifier
1487901351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 0101003H
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101003H | NY | |
| Internal Medicine Physician | 207R00000X | 0101003H | NY | |
| General Acute Care Hospital | 282N00000X | 0101003H | NY | Primary |
| Physician Assistant | 363A00000X | 0101003H | NY | |
| Nurse Practitioner | 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
National Provider Directory
National Provider Directory- Tax ID family
- Sleepy Hollow Family He
- 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.
-
- General Acute Care Hospital
- Albany, NY
- NPI 1114274826
-
- General Acute Care Hospital
- Albany, NY
- NPI 1184161739
-
- General Acute Care Hospital
- Rensselaer, NY
- NPI 1568650265
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.