NPIMap

Organization Active NPI

St. Peters Health Partners Medical Associates, PC

  • Diagnostic Radiology Physician
  • Mechanicville, NY
National Provider Identifier
1508247487
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Practice address
202 S Central Ave
Mechanicville, NY 12118-3522
Phone
(518) 664-6125
NPI assigned
Jun 16, 2015
Organization subpart
Yes
Parent organization
ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Paul Gordon
Title
Cfo Physician Enterprises
Phone
(518) 525-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

202 S Central Ave
Mechanicville, NY 12118-3522

Mailing address

4 Palisades Dr
Suite 200
Albany, NY 12205-1449
Phone (518) 435-2745

National Provider Directory

National Provider Directory
Tax ID family
St Peter'S Health Partners Medical Associates PC95 organizations share this tax ID, including this one
Part of
St Peter'S Health Partners Medical Associates PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

202 S Central Ave
Mechanicville, NY 12118
Phone (518) 580-2099

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1508247487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PALISADES DR",
            "address_2": "SUITE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051449",
            "telephone_number": "518-435-2745",
            "fax_number": "518-649-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S CENTRAL AVE",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183522",
            "telephone_number": "518-664-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CFO PHYSICIAN ENTERPRISES",
        "authorized_official_telephone_number": "518-525-1585"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.