Active NPI
Vincent J Luvera, DO
- Geriatric Medicine (Family Medicine) Physician
- Schenectady, NY
National Provider Identifier
1720072465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- 180500-1
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016672 | Other | EMPIRE | |
| 01422375 | Medicaid | NY | |
| 100056652606 | Other | CDPHP | |
| 000406638001 | Other | BLUES | |
| 784649 | Other | MVP |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041019000852 | NY | Practitioner - Family Practice | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 180500-1 | NY | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kingsway Arms Nursing Center, Inc. | Current | Accepting new patients | |
| Premise Health of New York Medical, P.C | Past | Accepting new patients | |
| Schenectady Dermatology, PC | Past | 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.
-
- Multi-Specialty Clinic/Center
- Waterford, NY
- NPI 1538991658
-
- Dermatology Physician
- Schenectady, NY
- NPI 1417905290
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.