NPIMap

Individual provider Active NPI

Jennifer Ellen Lindstrom, M.D.

  • Internal Medicine Physician
  • Cohoes, NY
National Provider Identifier
1811980485
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234782 Issued in NY
Practice address
1019 New Loudon Rd.
Cohoes, NY 12047
Phone
(518) 262-7500
Fax
(518) 262-7505
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 234782 NY
Internal Medicine Physician 207R00000X 234782 NY Primary

Addresses

Primary practice location

1019 New Loudon Rd.
Cohoes, NY 12047

Mailing address

1019 New Loudon Rd.
Cohoes, NY 12047
Phone (518) 262-7500

Other identifiers 1

IdentifierTypeStateIssuer
02623430MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314000458 NY Practitioner - Pediatric MedicinePractitioner - Internal Medicine 6709831779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

1019 New Loudon Rd
Cohoes, NY 12047-5003
Phone (518) 262-7500

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
234782NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Internal Medicine CurrentSince Oct 20, 2016 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College Pediatrics Current Accepting new patients
Albany Medical College Internal Medicine Current Accepting new patients
Albany Medical College CurrentSince Oct 20, 2016 Accepting new patients
Albany Medical College Current Accepting new patients

Locations

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

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500

1019 New Loudon Rd
Ste A101
Cohoes, NY 12047

99 Delaware Ave
Ste 99A
Delmar, NY 12054
Phone (518) 262-0942

724 Watervliet Shaker Rd
Latham, NY 12110
Phone (518) 262-7500

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

Interoperability endpoints

  • Direct secure messaging: jlindstrom33886@albanymed.direct-ci.com

Organizations & group practices 7

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 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1811980485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 NEW LOUDON RD.",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "12047",
            "telephone_number": "518-262-7500",
            "fax_number": "518-262-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 NEW LOUDON RD.",
            "city": "COHOES",
            "state": "NY",
            "postal_code": "12047",
            "telephone_number": "518-262-7500",
            "fax_number": "518-262-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "JENNIFER",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "234782",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02623430",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cohoes, NY

Sources for this page

Verify at the official NPI Registry.