Individual provider Active NPI

Maria Voznesensky, MD

  • Urology Physician
  • Albany, NY
National Provider Identifier
1831419514
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
306661 Issued in NY
Practice address
319 S Manning Blvd Ste 106
Albany, NY 12208-1743
Phone
(518) 438-1019
NPI assigned
Jun 4, 2010
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD458674 PA
Urology Physician 208800000X MD-42344 IA
Urology Physician 208800000X 306661 NY Primary

Addresses

Primary practice location

319 S Manning Blvd Ste 106
Albany, NY 12208-1743

Mailing address

PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500

Other practice location 1

4 Executive Park Dr Ste 2
Albany, NY 12203-3717
Phone (518) 489-7494

Other practice location 2

63 Shaker Rd Ste 202
Albany, NY 12204-1030
Phone (518) 434-1283

Other practice location 3

855 Route 146
Clifton Park, NY 12065-3885
Phone (518) 489-7494

Other practice location 4

1250 S Cedar Crest Blvd
Suite 215
Allentown, PA 18103-6224
Phone (610) 402-6986

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160917000359 PA Practitioner - Urology 6901032853 Reassigns benefits to 2 organizations
I20201006000340 NY Practitioner - Urology 6901032853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

319 S Manning Blvd
Suite 106
Albany, NY 12208-1743
Phone (518) 438-1019

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection32
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-42344IAMDUrology Physician
306661NYMDUrology Physician
MD458674PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Sep 8, 2016 Accepting new patients
Lehigh Valley Physician Group CurrentSince Sep 8, 2016 Accepting new patients
Lehigh Valley Physician Group Current Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Sep 14, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Oct 1, 2018 Accepting new patients
Hazleton Professional Services Current Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Past Accepting new patients

Locations

319 S Manning Blvd
Ste 106
Albany, NY 12208
Phone (518) 438-0507

4 Executive Park Dr
Ste 2
Albany, NY 12203
Phone (518) 435-1231

63 Shaker Rd
Ste 202
Albany, NY 12204
Phone (518) 434-1283

855 Route 146
Clifton Park, NY 12065
Phone (518) 438-2776

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

1250 S Cedar Crest Blvd
Ste 215
Allentown, PA 18103
Phone (610) 402-6986

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

1000 Alliance Dr
#10
Hazleton, PA 18202
Phone (570) 501-6450

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

3824 Northern Pike
Ste 600
Monroeville, PA 15146
Phone (412) 457-0175

Interoperability endpoints

  • Direct secure messaging: mvoznesensky789424@direct.trinity-health.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1831419514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 783311",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191783311",
            "telephone_number": "484-884-4500",
            "fax_number": "484-884-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD STE 106",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081743",
            "telephone_number": "518-438-1019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Executive Park Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033717",
            "country_code": "US",
            "telephone_number": "518-489-7494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Shaker Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041030",
            "country_code": "US",
            "telephone_number": "518-434-1283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 Route 146",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120653885",
            "country_code": "US",
            "telephone_number": "518-489-7494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 S Cedar Crest Blvd",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036224",
            "country_code": "US",
            "telephone_number": "610-402-6986",
            "fax_number": "610-402-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOZNESENSKY",
        "first_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD458674",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "MD-42344",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "306661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "319 S Manning Blvd Ste 106",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.