Active NPI
Albany Medical College
- Clinical Medical Laboratory
- Albany, NY
National Provider Identifier
1508896424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- ALBANY MEDICAL COLLEGE
- Practice address
- 47 New Scotland Ave
Msx21
Albany, NY 12208-3412 - Phone
- (518) 262-5045
- Fax
- (518) 262-5975
- NPI assigned
- Jul 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vincent P Verdile, M.D.
- Title
- Dean
- Phone
- (518) 262-3773
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
47 New Scotland Ave
Msx21
Albany, NY 12208-3412
Mailing address
618 Central Ave
MC 106
Albany, NY 12206-1916
Phone (518) 262-9702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00602286 | Medicaid | NY |
Other names 1
- ALBANY MEDICAL COLLEGE HEMATOLOGY LAB
National Provider Directory
National Provider Directory- Tax ID family
- Paul J Weinman
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Locations
47 New Scotland Ave
#21
Albany, NY 12208
Phone (518) 262-5045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508896424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 CENTRAL AVE",
"address_2": "MC 106",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061916",
"telephone_number": "518-262-9702",
"fax_number": "518-262-9707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 NEW SCOTLAND AVE",
"address_2": "MSX21",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083412",
"telephone_number": "518-262-5045",
"fax_number": "518-262-5975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBANY MEDICAL COLLEGE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VERDILE",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DEAN",
"authorized_official_telephone_number": "518-262-3773",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00602286",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ALBANY MEDICAL COLLEGE HEMATOLOGY LAB",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.