Capital City Gospel Mission Free Clinic

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CAPITAL CITY GOSPEL MISSION FREE CLINIC

Practice address

88 Trinity Place
Albany, NY 12202

Phone

(518) 533-5415

NPI assigned

Mar 6, 2023

Last updated

Mar 6, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

CAPITAL CITY GOSPEL MISSIONAs reported in NPPES

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

Authorized official

Name

Mrs. Stephanie Zeronda, PA-CNPI 1659482438

Title

Clinic Director

Phone

(518) 533-5415

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Capital City Gospel Mission Free Clinic

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie W Zeronda, RPA-C

  • Physician Assistant
  • Slingerlands, NY
  • NPI 1659482438
  NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1710687199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 S PEARL ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 TRINITY PLACE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12202",
            "telephone_number": "518-533-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY GOSPEL MISSION FREE CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAPITAL CITY GOSPEL MISSION",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "ZERONDA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "518-533-5415",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Allen Canterbury IV, DPT
• Melissa Capalbo, RN
• Cape Coral Emergency Physicians LLC
• Capital Area Hudson Valley New York Dental PC (1st Advantage Dental - Colonie)
• Capital Cardiology Associates PLLC
• Capital Dental Care PLLC
• Capital District Ambulance Service, Inc.
• Capital District Care Group LLC
• Capital District Colon & Rectal Surgery Assoc., P.C.
• Capital District Family Chiropractic, PLLC.

• Physician Assistant in Albany, NY
• Providers in Albany, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.