NPIMap

Organization Active NPI

Albany Medical College

  • Urgent Care Clinic/Center
  • Brunswick, NY
National Provider Identifier
1780052308
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ALBANY MEDICAL COLLEGE
Practice address
730 Hoosick Rd
Brunswick, NY 12180-8777
Phone
(518) 264-3200
NPI assigned
Sep 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Vincent Verdile, MD
Title
Dean, Albany Medical College
Phone
(518) 262-6008

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

730 Hoosick Rd
Brunswick, NY 12180-8777

Mailing address

PO Box 417208
Boston, MA 02241-7208

Other names 1

  • Albany Med EmUrgentCare Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160620002505 NY DME Supplier - Multi-Specialty - Physician 1759293111 Practice locations: Troy, NY

Other NPIs with the same Medicare PAC ID 12

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Paul J Weinman41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

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

730 Hoosick Rd
Troy, NY 12180
Phone (518) 264-3200

Practitioners & affiliated clinicians

Practitioners 1,054

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 1,054

NPI Registry JSON

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1780052308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417208",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 HOOSICK RD",
            "city": "BRUNSWICK",
            "state": "NY",
            "postal_code": "121808777",
            "telephone_number": "518-264-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY MEDICAL COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "VERDILE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "DEAN, ALBANY MEDICAL COLLEGE",
        "authorized_official_telephone_number": "518-262-6008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Med EmUrgentCare",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Albany Med EmUrgentCare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.