Albany Medical College
Organization Active NPI Allergy & Immunology Physician · Albany, NY
NPI 1497921688 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1497921688
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- Legal business name
- ALBANY MEDICAL COLLEGE
- Practice address
- 47 New Scotland Ave
Albany, NY 12208-3412 - Phone
- (518) 262-9600
- NPI assigned
- May 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Alan Boulos, MD
- Title
- Dean
- Phone
- (518) 262-9600
Other NPIs with the same Medicare PAC ID 12
Member of 1
Member organizations 2
Practitioners 1,888
-
Meghan Aabo, D.O.
-
Christa Rose Abraham, M.D.
-
Evan Adelstein, MD
-
Angela Adger, PHD
-
Rebecca Adler, MD
-
Farzana Afroze, M.D.
-
John Agresta, D.O.
-
Nabras Ahmed, D.O.
-
Eyad Aldaas, M.D.
-
William George Alderisio, M.D.
-
Avi Alin, M.D.
-
Michael Robert Allen, M.D.
-
Giyana D Amaratunga, M.D.
-
Ivan Andriianov, CRNA
-
Michael Philip Angelucci, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190320001621 | NY | Part B Supplier - Clinic/Group Practice | 1759293111 | Receives reassigned benefits from 1,800 practitioners |
National Provider Directory
Locations
16 New Scotland Ave
Albany, NY 12208
Phone (518) 262-4942
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Allergy & Immunology Physician |
207K00000X | Yes | ||
| Anesthesiology Physician |
207L00000X | |||
| Dermatology Physician |
207N00000X | |||
| Emergency Medicine Physician |
207P00000X | |||
| Internal Medicine Physician |
207R00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Obstetrics & Gynecology Physician |
207V00000X | |||
| Ophthalmology Physician |
207W00000X | |||
| Pediatrics Physician |
208000000X | |||
| Physical Medicine & Rehabilitation Physician |
208100000X | |||
| Neurology Physician |
2084N0400X | |||
| Surgery Physician |
208600000X | |||
| Nurse Practitioner |
363L00000X | |||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
47 New Scotland Ave
Albany, NY 12208-3412
Mailing address
1275 Broadway # Mc106
Menands, NY 12204-2638
Phone (518) 262-9705
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1006966 | Medicaid | VT |
Other providers in Albany, NY
- Albany Medical College
- Albany Medical College
- Albany Medical College
- Albany Medical College
- Albany Medical College
- Albany Medical College
- Albany Medical College
- Albany Medical College
- Albany Medical College
- Albany Medical College
All providers in Albany, NY · Allergy & Immunology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.