NPIMap

Organization Active NPI

St. Peter's Hospital of the City of Albany

  • General Acute Care Hospital
  • Albany, NY
National Provider Identifier
1497701106
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0101114H Issued in NY
Legal business name
ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Practice address
315 S Manning Blvd
Albany, NY 12208-1707
Phone
(518) 525-1550
NPI assigned
May 25, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. PETER'S HOSPITAL OF THE CITY OF ALBANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Gary Terk
Title
Credentialing Manager
Phone
(518) 525-5634

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X
Substance Use Disorder Rehabilitation Hospital Unit 276400000X
General Acute Care Hospital 282N00000X 0101114H NY Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

315 S Manning Blvd
Albany, NY 12208-1707

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

315 South Manning Blvd Suite 6408A
Albany, NY 12208-1707
Phone (518) 525-1303

Other names 2

  • St Peter's Hospital Other name
  • St. Peter's Addiction Recovery Center Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct ST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Direct Messaging Address payer.credentialing@sphp.com Direct St. Peter's Hospital of the City of Albany
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070905000251 NY Part A Provider - Hospital 2668460072 Practice locations: Cohoes, NY; Albany, NY; Colonie, NY; Guilderland, NY; Latham, NY; Rensselaer, NY; Saratoga Springs, NY; Schenectady, NY…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497701106. Details of each certification follow.

Hospital certification: CCN 330057

Legal name
ST PETERS HOSPITAL OF THE CITY OF ALBANY
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 18, 2024
Beds
482
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 31, 1871 in NY
Enrollment address
315 S Manning Blvd
Albany, NY 12208-1707
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Rehabilitation, Swing-bed approved, Psychiatric unit, Rehabilitation unit, Specialty hospital

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
St Peter's HospitalCCN 330057 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Aaron Sher MD

Locations

1092 Madison Ave
Fl 2
Albany, NY 12208
Phone (518) 525-1757

1365 Washington Ave
Ste 106
Albany, NY 12206
Phone (518) 269-4614

1365 Washington Ave
Ste 202
Albany, NY 12206
Phone (866) 619-0111

19 Warehouse Row
Albany, NY 12205
Phone (518) 525-1629

315 S Manning Blvd
Rm 6512
Albany, NY 12208
Phone (518) 525-1304

315 S Manning Blvd
Ste 3563C
Albany, NY 12208
Phone (518) 256-6560

315 S Manning Blvd
Unit 3563C
Albany, NY 12208
Phone (518) 525-6560

4 Palisades Dr
Ste 120
Albany, NY 12205
Phone (518) 813-9469

6 Executive Park Dr
Bldg B
Albany, NY 12203
Phone (518) 438-1348

64 2nd Ave
Albany, NY 12202
Phone (518) 449-5170

845 Central Ave
Albany, NY 12206
Phone (518) 458-8888

159 Wolf Rd
Colonie, NY 12205
Phone (518) 437-0157

1814 Central Ave
Ste 8
Colonie, NY 12205
Phone (518) 525-6126

6 Care Ln
Ste 3
Saratoga Springs, NY 12866
Phone (518) 269-4600

1240 New Scotland Rd
Ste 100
Slingerlands, NY 12159
Phone (518) 475-1818

1240 New Scotland Rd
Ste 101
Slingerlands, NY 12159
Phone (518) 475-7000

1240 New Scotland Rd
Ste 200
Slingerlands, NY 12159
Phone (518) 439-6175

Ownership & related parties

All disclosed owners & managing parties 20

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie Edmunds Smith Individual Corporate OfficerCfo Jan 1, 2025
Merriette Pollard Individual Corporate DirectorBoard Member Oct 1, 2022
Eric Farrell Individual Corporate OfficerSecretary Oct 1, 2022
Corporate DirectorBoard Member Oct 1, 2022
Manufacturers & Traders Trust Company Organization, Buffalo, NY Financial institution 5% Or Greater Mortgage Interest Jan 1, 2008
St Peters Health Partners Organization, Albany, NY Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 1, 2011 100%
John Marshall Individual Corporate OfficerTreasurer Oct 5, 2022
Corporate DirectorBoard Member Oct 5, 2022
Kathleen M Jimino Individual Corporate OfficerChair Oct 5, 2022
Corporate DirectorBoard Member Jan 1, 2019
Lori M Santos Individual W-2 Managing EmployeeVP of Finance Jul 1, 2012
William Wildridge Individual Corporate OfficerVice Chair Oct 1, 2022
Corporate DirectorBoard Member Oct 1, 2022
Steven Donald Hanks Individual Corporate OfficerPresident & Ceo Jan 25, 2022
Michael Meath Individual Corporate DirectorBoard Member Oct 1, 2022
Guha Bala Individual Corporate DirectorBoard Member Jan 24, 2019
Gina Myers Individual Corporate DirectorBoard Member Oct 1, 2022
Tom W Robert Individual Corporate OfficerCfo Jan 1, 2019
Corporate DirectorBoard Member Jan 1, 2019
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 1, 2013 100%
Daniel Isacksen Individual Corporate DirectorBoard Member Oct 1, 2022
Stuart Kilpinen Individual Operational/Managerial ControlChain Home Office Administrator Jun 10, 2023
Kerri Sweet Zavaglia Individual Corporate DirectorBoard Member Oct 1, 2022
Robert J McCormick Individual Corporate DirectorBoard Member Jan 1, 2015
Oluwatoyin Tofade Individual Corporate DirectorBoard Member Oct 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

Practitioners & affiliated clinicians

Practitioners 809

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 809

Affiliated clinicians 1,591

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,591

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1497701106",
    "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": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 South Manning Blvd Suite 6408A",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. PETER'S HOSPITAL OF THE CITY OF ALBANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. PETER'S HOSPITAL OF THE CITY OF ALBANY",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "TERK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "518-525-5634"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "0101114H",
            "primary": true
        },
        {
            "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": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "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 HOSPITAL OF THE CITY OF ALBANY",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 South Manning Blvd Suite 6408A",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "Y",
            "endpointDescription": "SPHP Payer Credentialing",
            "affiliationName": "St. Peter's Hospital of the City of Albany",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St Peter's Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Peter's Addiction Recovery Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Peter's Addiction Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.