NPIMap

Individual provider Active NPI

Susan Peng Demarest, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Albany, NY
National Provider Identifier
1558680504
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
277624 Issued in NY
Practice address
220 Washington Avenue Ext
Albany, NY 12203-5316
Phone
(518) 489-4704
Fax
(518) 489-0512
NPI assigned
May 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 277624 NY Primary

Addresses

Primary practice location

220 Washington Avenue Ext
Albany, NY 12203-5316

Mailing address

220 Washington Avenue Ext
Albany, NY 12203-5316
Phone (518) 489-4704

Other identifiers 1

IdentifierTypeStateIssuer
04102383MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716001400 NY Practitioner - EndocrinologyPractitioner - Internal Medicine 6901045186 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Virginia Commonwealth University, School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

220 Washington Ave Ext
Albany, NY 12203-5316
Phone (518) 262-9600

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC CurrentSince Dec 1, 2021 Accepting new patients
Ellis Hospital CurrentSince Jul 1, 2015 Accepting new patients
Albany Medical College Endocrinology, Diabetes & Metabolism CurrentSince Feb 24, 2025 Accepting new patients
Albany Medical College CurrentSince Feb 24, 2025 Accepting new patients
Community Care Physicians, PC Past Accepting new patients
Albany Medical College Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

220 Washington Avenue Ext
Albany, NY 12203
Phone (518) 264-4460

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

2125 River Rd
Ste 303
Schenectady, NY 12309
Phone (518) 382-8350

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

624 McClellan St
Ste G06
Schenectady, NY 12304
Phone (518) 347-5537

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

Interoperability endpoints

  • Direct secure messaging: sdemarest138336@albanymed.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1558680504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035316",
            "telephone_number": "518-489-4704",
            "fax_number": "518-489-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035316",
            "telephone_number": "518-489-4704",
            "fax_number": "518-489-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAREST",
        "first_name": "SUSAN",
        "middle_name": "PENG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "277624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04102383",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.