NPIMap

Organization Active NPI

St Peters Health Partners Medical Associates, PC

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1740525344
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Practice address
4 Palisades Dr
Sutie 250
Albany, NY 12205-1443
Phone
(518) 437-1184
Fax
(518) 437-1187
NPI assigned
Dec 7, 2012
Organization subpart
Yes
Parent organization
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Paul Gordon
Title
Dir Fin/Admin Phys Enterprise
Phone
(518) 525-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4 Palisades Dr
Sutie 250
Albany, NY 12205-1443

Mailing address

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1585

Other names 1

  • PRIME CARE-4 PALISADES -SUITE 250 Other name

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

4 Palisades Dr
Ste 250
Albany, NY 12205
Phone (518) 240-3750

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": "1390262400000",
    "number": "1740525344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1585",
            "fax_number": "518-525-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PALISADES DR",
            "address_2": "SUTIE 250",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051443",
            "telephone_number": "518-437-1184",
            "fax_number": "518-437-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC",
        "enumeration_date": "2012-12-07",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIR FIN/ADMIN PHYS ENTERPRISE",
        "authorized_official_telephone_number": "518-525-1585"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME CARE-4 PALISADES -SUITE 250",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.