Individual provider Active NPI

Jared King, D.O.

  • Neurology Physician
  • Albany, NY
National Provider Identifier
1740642941
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
297135 Issued in NY
Practice address
47 New Scotland Ave
Department of Internal Medicine
Albany, NY 12208-3412
Phone
(518) 262-5377
NPI assigned
Mar 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 297135 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X 63741 PA

Addresses

Primary practice location

47 New Scotland Ave
Department of Internal Medicine
Albany, NY 12208-3412

Mailing address

47 New Scotland Ave
Department of Internal Medicine
Albany, NY 12208-3412
Phone (518) 262-5377

Other practice location 1

100 Park Street
Glens Falls Hospital Neurology
Glens Falls, NY 12801
Phone (518) 926-2940

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jared.king@cdirectglensfallshosp.org

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
I20200430001586 NY Practitioner - Neurology 7315282118 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

79 N St
Granville Medical Center
Granville, NY 12832-1137
Phone (518) 642-0612

Hospital & facility affiliations

  • Vna Home Health Home health agency, Albany, NY, CCN 337019
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Sunnyview Hospital and Rehabilitation Center Hospital, Schenectady, NY, CCN 330406
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
297135NYMDNeurology Physician
63741PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Mar 11, 2020 Accepting new patients
Albany Medical College Neurology CurrentSince Aug 3, 2021 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2020 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Neurology CurrentSince Jul 1, 2020 Accepting new patients
Glens Falls Hospital Inc CurrentSince Jan 1, 2021 Accepting new patients
Glens Falls Hospital Inc. CurrentSince Jan 1, 2021 Accepting new patients
Albany Medical College Neurology CurrentSince Jul 1, 2020 Accepting new patients

Locations

400 Patroon Creek Blvd
Ste 210
Albany, NY 12206
Phone (518) 459-8106

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

Interoperability endpoints

  • Direct secure messaging: jking26141@albanymed.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1740642941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Park Street",
            "address_2": "Glens Falls Hospital Neurology",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "12801",
            "country_code": "US",
            "telephone_number": "518-926-2940",
            "fax_number": "518-926-2941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "JARED",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "297135",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "63741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jared.king@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "100 Park Street",
            "address_2": "Glens Falls Hospital Neurology",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.