St. Peter's Ambulatory Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

261QA1903X Issued in NY

Legal business name

ST. PETER'S AMBULATORY SURGERY CENTER LLC

Doing business as

St. Peter's Surgery & Endoscopy Center

Practice address

1375 Washington Ave
Suite 201
Albany, NY 12206-1056

Phone

(518) 533-3420

Fax

(518) 533-3424

NPI assigned

Sep 15, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James A Torre

Title

Executive Director/Administrator

Phone

(518) 533-3420

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St. Peter's Surgery & Endoscopy Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

St Peters Ambulatory Surgery Center LLCCCN 33C0001064

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• St. Peter's Hospitalof the City of Albany

  • Obstetrics & Gynecology Physician
  • Albany, NY
  • NPI 1386715621

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Richard George Clift, M.D.

  • Gastroenterology Physician
  • Albany, NY
  • NPI 1215969316
  NPD (past)
• Lisa Van Wie, RN

  • Gastroenterology Physician
  • Albany, NY
  • NPI 1184383267
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750376836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 WASHINGTON AVE",
            "address_2": "SUITE 201",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061056",
            "telephone_number": "518-533-3420",
            "fax_number": "518-533-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 WASHINGTON AVE",
            "address_2": "SUITE 201",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061056",
            "telephone_number": "518-533-3420",
            "fax_number": "518-533-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETER'S AMBULATORY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TORRE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "518-533-3420",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "261QA1903X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02276511",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Peter's Surgery & Endoscopy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. Catherine's Center for Children
• Terri L St. George, LMHC
• St. Margarets Daylight
• St. Peter's Addiction and Recovery Center
• St. Peter's Addiction Recovery Center
• St. Peter's Health Partners Medical Associates
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C.
• St. Peter's Health Partners Medical Associates, P.C. (St. Peter's Internal Medicine)

• Ambulatory Surgical Clinic/Center in Albany, NY
• Providers in Albany, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.