St. Peter's Health Partners Medical Associates, P.C.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

Practice address

317 South Manning Blvd Suite 100
St Peter's Radiation Oncology
Albany, NY 12208-3917

Phone

(518) 525-1404

NPI assigned

Nov 27, 2013

Organization subpart

Yes

Parent organization

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCAITES, PCAs reported in NPPES

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

Authorized official

Name

Courtney Knowles

Title

Credentialing Manager

Phone

(518) 525-5634

Specialties & licenses 6

Addresses

Other names 1

• St. Peter's Radiation Oncology Other name

Electronic endpoints 1

Part of

St Peter's Health Partners Medical Associates PC

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

{
    "created_epoch": "1385510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1497186548",
    "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": "317 SOUTH MANNING BLVD SUITE 100",
            "address_2": "ST PETER'S RADIATION ONCOLOGY",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083917",
            "telephone_number": "518-525-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCAITES, PC",
        "enumeration_date": "2013-11-27",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "518-525-5634"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "Y",
            "endpointDescription": "SPHP Payer Credentialing",
            "affiliationName": "St. Peter's Health Partners Medical Associates, P.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "317 South Manning Blvd Suite 100",
            "address_2": "St Peter's Radiation Oncology",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122083917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Peter's Radiation Oncology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.

• Radiation Oncology Physician in Albany, NY
• Providers in Albany, NY by specialty
• Radiation Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.