NPIMap

Organization Active NPI

St. Peter'S Health Partners Medical Associates, P.C.

  • Pediatrics Physician
  • Slingerlands, NY
National Provider Identifier
1669717260
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Practice address
1240 New Scotland Road Suite 203
Slingerlands, NY 12159-9222
Phone
(518) 478-9423
NPI assigned
Dec 7, 2012
Organization subpart
Yes
Parent organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCAITES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Courtney Knowles
Title
Credentialing Manager
Phone
(518) 525-5634

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary
Multi-Specialty Clinic/Center 261QM1300X
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1240 New Scotland Road Suite 203
Slingerlands, NY 12159-9222

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other identifiers 1

IdentifierTypeStateIssuer
03539695MedicaidNY

Other names 1

  • Slingerlands Pediatrics Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct St. Peter's Health Partners Medical Associates, P.C.

National Provider Directory

National Provider Directory
Tax ID family
St Peter'S Health Partners Medical Associates PC95 organizations share this tax ID, including this one
Part of
St Peter'S Health Partners Medical Associates PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations (25 of 45)

863 N Main Street Ext
Ste 103
Wallingford, CT 06492
Phone (203) 694-5500

5 Palisades Dr
Ste 250
Albany, NY 12205
Phone (518) 438-4496

1444 Western Ave
Ste B
Albany, NY 12203
Phone (518) 458-8014

3 Atrium Dr
Ste 16
Albany, NY 12205

319 S Manning Blvd
Ste 301
Albany, NY 12208
Phone (518) 458-1390

4 Palisades Dr
Ste 150
Albany, NY 12205
Phone (518) 458-1245

1444 Western Ave
Albany, NY 12203

5 Palisades Dr
Albany, NY 12205
Phone (518) 348-0634

319 S Manning Blvd
Ste 206
Albany, NY 12208
Phone (518) 438-6226

1365 Washington Ave
Ste 104
Albany, NY 12206
Phone (518) 489-0736

319 S Manning Blvd
Ste 110
Albany, NY 12208
Phone (518) 446-1850

319 S Manning Blvd
Ste 307
Albany, NY 12208
Phone (518) 525-5208

319 S Manning Blvd
Ste 304
Albany, NY 12208
Phone (518) 525-5206

62 Shaker Rd Ste 201
Albany, NY 12204

315 S Manning Blvd
Unit 3563C
Albany, NY 12208
Phone (518) 525-6560

455 Patroon Creek Blvd
Ste 101
Albany, NY 12206
Phone (518) 438-0505

319 S Manning Blvd
Ste 20
Albany, NY 12208

1441 Western Ave
Albany, NY 12203
Phone (518) 229-3604

317 S Manning Blvd
Ste C364
Albany, NY 12208
Phone (518) 641-6936

1444 Western Ave
Ste C
Albany, NY 12203
Phone (518) 458-8014

855 Route 146
Bldg B150
Clifton Park, NY 12065

648 Plank Rd
#B
Clifton Park, NY 12065
Phone (518) 688-1177

190 Delaware Ave
Delmar, NY 12054
Phone (518) 439-7960

99 E State St
Ste G5
Gloversville, NY 12078
Phone (518) 773-2303

23 Arterial Plz
Ste 30A
Gloversville, NY 12078

Practitioners & affiliated clinicians

Practitioners 416

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 416

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1669717260",
    "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",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 NEW SCOTLAND ROAD SUITE 203",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599222",
            "telephone_number": "518-478-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCAITES, PC",
        "enumeration_date": "2012-12-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "KNOWLES",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "518-525-5634"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03539695",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "Y",
            "endpointDescription": "SPHP Payer Credentialing",
            "affiliationName": "St. Peter's Health Partners Medical Associates, P.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1240 New Scotland Road Suite 203",
            "city": "Slingerlands",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121599222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Slingerlands Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Slingerlands, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.