NPIMap

Individual provider Active NPI

Jose M. David Jr., M.D.

  • Family Medicine Physician
  • Albany, NY
National Provider Identifier
1831181981
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
179838 Issued in NY
Practice address
1 Alton Rd
Albany, NY 12203-4253
Phone
(518) 456-4634
Fax
(518) 874-0647
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 179838 NY
Family Medicine Physician 207Q00000X 179838 NY Primary

Addresses

Primary practice location

1 Alton Rd
Albany, NY 12203-4253

Mailing address

1 Alton Rd
Albany, NY 12203-4253
Phone (518) 456-4634

Other identifiers 1

IdentifierTypeStateIssuer
01270268MedicaidNY

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
I20040901000168 NY Practitioner - Family Practice 4284609355 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Albany Family Medicine PLLCGroup PAC ID 8628400017, 2 clinicians
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
Villa Mary ImmaculateGroup PAC ID 0941279004, 3 clinicians

Practice addresses (Care Compare)

1 Alton Rd
Suite 1
Albany, NY 12203-4255
Phone (518) 456-4634

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

301 Hackett Blvd
Albany, NY 12208-1963
Phone (518) 525-7600

Hospital & facility affiliations

  • Marquis Certified Home Care, LLC Home health agency, Albany, NY, CCN 337418
  • Vna Home Health Home health agency, Albany, NY, CCN 337019
  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Peters Nursing and Rehabilitation Center Nursing home, Albany, NY, CCN 335128

Merit-based Incentive Payment System (MIPS)

Final score
51.51 of 100Reported as individual
Quality
62.49
Improvement activities
0
Cost
75.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Villa Mary Immaculate CurrentSince Jul 18, 2010 Accepting new patients
Albany Family Medicine PLLC Family Medicine CurrentSince Oct 5, 2019 Accepting new patients
Paul E Lemanski MD PLLC Past Accepting new patients

Locations

1228 Western Ave
Albany, NY 12203
Phone (518) 514-9500

1 Alton Rd
Albany, NY 12203
Phone (518) 456-0428

301 Hackett Blvd
Albany, NY 12208
Phone (518) 525-1297

1 Alton Rd
Ste 1
Albany, NY 12203
Phone (518) 456-4634

2405 15th St
Troy, NY 12180
Phone (518) 266-9654

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1831181981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALTON RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034253",
            "telephone_number": "518-456-4634",
            "fax_number": "518-874-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALTON RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122034253",
            "telephone_number": "518-456-4634",
            "fax_number": "518-874-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "JOSE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NY",
            "license": "179838",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "179838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01270268",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.