NPIMap

Organization Active NPI

Albany Medical College

Doing business as Albany Med Division of Community Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Albany, NY
National Provider Identifier
1508280389
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
ALBANY MEDICAL COLLEGE
Doing business as
Albany Med Division of Community Endocrinology
Practice address
1365 Washington Ave
Suite 300
Albany, NY 12206-1098
Phone
(518) 489-4704
NPI assigned
Feb 13, 2014
Last updated
Apr 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Dr. Vincent Verdile, MD
Title
Dean Albany Medical College
Phone
(518) 262-6008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

1365 Washington Ave
Suite 300
Albany, NY 12206-1098

Mailing address

1275 Broadway # Mc106
Menands, NY 12204-2638
Phone (518) 262-9705

Other names 1

  • ALBANY MED DIVISION OF COMMUNITY ENDOCRINOLOGY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150305000258 NY DME Supplier - Physician - Podiatry 1759293111 Practice locations: Albany, NY

Other NPIs with the same Medicare PAC ID 12

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

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

220 Washington Avenue Ext
Albany, NY 12203
Phone (518) 264-4453

47 New Scotland Ave
#141
Albany, NY 12208

98 Wolf Rd
Ste 16
Albany, NY 12205
Phone (518) 264-9500

5 New Karner Rd
Guilderland, NY 12084
Phone (518) 869-8007

11835 State Route 9W
#166
West Coxsackie, NY 12192

Practitioners & affiliated clinicians

Practitioners 32

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 32

NPI Registry JSON

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1508280389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 BROADWAY # MC106",
            "city": "MENANDS",
            "state": "NY",
            "postal_code": "122042638",
            "telephone_number": "518-262-9705",
            "fax_number": "518-262-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 WASHINGTON AVE",
            "address_2": "SUITE 300",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061098",
            "telephone_number": "518-489-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY MEDICAL COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "VERDILE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "DEAN ALBANY MEDICAL COLLEGE",
        "authorized_official_telephone_number": "518-262-6008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALBANY MED DIVISION OF COMMUNITY ENDOCRINOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALBANY MED DIVISION OF COMMUNITY ENDOCRINOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.