NPIMap

Organization Active NPI

Memorial Hospital, Albany, N.Y.

  • General Acute Care Hospital
  • Rensselaer, NY
National Provider Identifier
1568650265
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0101003H Issued in NY
Legal business name
MEMORIAL HOSPITAL, ALBANY, N.Y.
Practice address
279 Troy Rd
Rensselaer, NY 12144-9499
Phone
(518) 880-6300
NPI assigned
Oct 9, 2007
Organization subpart
Yes
Parent organization
MEMORIAL HOSPITAL, ALBANY, N.Y.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Lori Santos
Title
Cfo
Phone
(518) 525-5537

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X
General Acute Care Hospital 282N00000X 0101003H NY Primary

Addresses

Primary practice location

279 Troy Rd
Rensselaer, NY 12144-9499

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other identifiers 1

IdentifierTypeStateIssuer
00364003MedicaidNY

Other names 2

  • Northeast Health Imaging Other name
  • St. Peter's Medical Imaging Other name

National Provider Directory

National Provider Directory
Tax ID family
Sleepy Hollow Family He4 organizations share this tax ID, including this one
Part of
Sleepy Hollow Family He

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1568650265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 TROY RD",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121449499",
            "telephone_number": "518-880-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL, ALBANY, N.Y.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEMORIAL HOSPITAL, ALBANY, N.Y.",
        "enumeration_date": "2007-10-09",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "518-525-5537"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NY",
            "license": "0101003H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00364003",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Health Imaging",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "St. Peter's Medical Imaging",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rensselaer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.

Verify at the official NPI Registry.