Active NPI
Peter J Runge, M.D.
- Internal Medicine Physician
- Schenectady, NY
National Provider Identifier
1689689390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 098093
- Practice address
- 1201 Nott St
Suite 203
Schenectady, NY 12308-2589 - Phone
- (518) 382-8350
- Fax
- (518) 382-0345
- NPI assigned
- Jul 30, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 098093 | NY | Primary |
Addresses
Primary practice location
1201 Nott St
Suite 203
Schenectady, NY 12308-2589
Mailing address
1201 Nott St
Suite 203
Schenectady, NY 12308-2589
Phone (518) 382-8350
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070314000017 | Other | NY | FIDELIS |
| 28N041 | Other | NY | EMPIRE BC |
| 000401694001 | Other | NY | BSNENY |
| 00526201 | Medicaid | NY | |
| 11112 | Other | NY | MVP |
| 47353 | Other | NY | GHI/HMO |
| 10002908 | Other | NY | CDPHP |
| 200147 | Other | NY | SENIOR WHOLE HEALTH |
| 4220071 | Other | NY | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1689689390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 NOTT ST",
"address_2": "SUITE 203",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082589",
"telephone_number": "518-382-8350",
"fax_number": "518-382-0345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NOTT ST",
"address_2": "SUITE 203",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123082589",
"telephone_number": "518-382-8350",
"fax_number": "518-382-0345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNGE",
"first_name": "PETER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-30",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "098093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "070314000017",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "28N041",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000401694001",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00526201",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "11112",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO",
"identifier": "47353",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10002908",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "200147",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4220071",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.