NPIMap

Organization Active NPI

St Peters Health Partners Medical Associates, PC

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1760727325
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
63 Albany Shaker Rd
Suite 102
Albany, NY 12204-1030
Phone
(518) 207-2710
Fax
(518) 207-2713
NPI assigned
Dec 7, 2012
Last updated
Jan 21, 2014By the provider in NPPES
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 Physician 207R00000X NU Primary

Addresses

Primary practice location

63 Albany Shaker Rd
Suite 102
Albany, NY 12204-1030

Mailing address

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

Other names 1

  • 63 SHAKER ROAD-SUITE 102 Other name

National Provider Directory

National Provider Directory
Tax ID family
Sphpma Crus Urology96 organizations share this tax ID, including this one
Part of
Sphpma Crus Urology

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

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": "1760727325",
    "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": "63 ALBANY SHAKER RD",
            "address_2": "SUITE 102",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-207-2710",
            "fax_number": "518-207-2713"
        }
    ],
    "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": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "63 SHAKER ROAD-SUITE 102",
            "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.