Individual provider Active NPI

Vincent J Luvera, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Schenectady, NY
National Provider Identifier
1720072465
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
180500-1 Issued in NY
Practice address
600 McClellan St
St Claires Hospital Wound Care Center
Schenectady, NY 12304-1009
Phone
(518) 347-5442
Fax
(518) 347-5330
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 180500-1 NY Primary

Addresses

Primary practice location

600 McClellan St
St Claires Hospital Wound Care Center
Schenectady, NY 12304-1009

Mailing address

260 Hudson River Rd
Waterford, NY 12188-1910
Phone (518) 233-2870

Other practice location 1

401 New Karner Rd Ste 101
Albany, NY 12205-3854
Phone (518) 831-5252

Other identifiers 5

IdentifierTypeStateIssuer
016672OtherEMPIRE
01422375MedicaidNY
100056652606OtherCDPHP
000406638001OtherBLUES
784649OtherMVP

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
I20041019000852 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 9234190760 Reassigns benefits to 2 organizations
Practice locations: Schenectady, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180500-1NYMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kingsway Arms Nursing Center, Inc. CurrentSince Dec 30, 2013 Accepting new patients
Premise Health of New York Medical, P.C PastSince Aug 18, 2024 Accepting new patients
Schenectady Dermatology, PC PastSince Jun 16, 2006 Accepting new patients
Ellis Hospital Past Accepting new patients

Locations

323 Kings Rd
Schenectady, NY 12304
Phone (518) 393-4117

Organizations & group practices 4

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": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1720072465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HUDSON RIVER RD",
            "city": "WATERFORD",
            "state": "NY",
            "postal_code": "121881910",
            "telephone_number": "518-233-2870",
            "fax_number": "518-233-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "address_2": "ST CLAIRES HOSPITAL WOUND CARE CENTER",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009",
            "telephone_number": "518-347-5442",
            "fax_number": "518-347-5330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 New Karner Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122053854",
            "country_code": "US",
            "telephone_number": "518-831-5252",
            "fax_number": "518-831-5044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUVERA",
        "first_name": "VINCENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "180500-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "016672",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01422375",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "100056652606",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUES",
            "identifier": "000406638001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "784649",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.