Individual provider Active NPI

Jonathan S Halpert, MD

  • Emergency Medicine Physician
  • Guilderland, NY
National Provider Identifier
1609805100
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
217330-1 Issued in NY
Practice address
2080 Western Ave
Guilderland, NY 12084
Phone
(518) 867-8040
Fax
(518) 867-3035
NPI assigned
Jun 30, 2006
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 217330-1 NY Primary

Addresses

Primary practice location

2080 Western Ave
Guilderland, NY 12084

Mailing address

2080 Western Avenue
Box 132
Guilderland, NY 12084
Phone (518) 867-8040

Other practice location 1

400 Patroon Creek Blvd
Suite 100
Albany, NY 12206-5014
Phone (518) 445-4444

Other identifiers 1

IdentifierTypeStateIssuer
02216168MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070928000634 NY Practitioner - Emergency Medicine 1850486317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albany Medical College of Union University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Priority Medical Services PLLCGroup PAC ID 5294075867, 4 clinicians

Practice addresses (Care Compare)

2080 Western Ave
Suite 132
Guilderland, NY 12084-9564
Phone (518) 867-8040

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217330-1NYMDEmergency Medicine Physician
MD073371LPAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Albany County, PLLC Emergency Medicine Past Accepting new patients
Albany Emergency Medicine Associates, PC Emergency Medicine Past Accepting new patients

Organizations & group practices 3

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1609805100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 WESTERN AVENUE",
            "address_2": "BOX 132",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "12084",
            "telephone_number": "518-867-8040",
            "fax_number": "518-867-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 WESTERN AVE",
            "city": "GUILDERLAND",
            "state": "NY",
            "postal_code": "12084",
            "telephone_number": "518-867-8040",
            "fax_number": "518-867-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Patroon Creek Blvd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122065014",
            "country_code": "US",
            "telephone_number": "518-445-4444",
            "fax_number": "518-618-1665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALPERT",
        "first_name": "JONATHAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "217330-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02216168",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilderland, NY

Sources for this page

Verify at the official NPI Registry.