Active NPI
Jonathan S Halpert, MD
- Emergency Medicine Physician
- Guilderland, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 217330-1
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02216168 | Medicaid | NY |
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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217330-1 | NY | MD | Emergency Medicine Physician |
| MD073371L | PA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Priority 1 Urgent Care
- Urgent Care Clinic/Center
- Guilderland, NY
- NPI 1841757440
-
- Emergency Medicine Physician
- Albany, NY
- NPI 1235165374
-
- Emergency Medicine Physician
- Albany, NY
- NPI 1073552055
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.