Active NPI
County of Albany Department of Health
- Public Health or Welfare Agency
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF ALBANY DEPARTMENT OF HEALTH
- Practice address
- 175 Green Street
Albany, NY 12202-2011 - Phone
- (518) 447-4580
- Fax
- (518) 447-4580
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 1, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James B Crucetti, M.D. M.P.H.
- Title
- Commissioner of Health
- Phone
- (518) 447-4695
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NU | Primary |
Addresses
Primary practice location
175 Green Street
Albany, NY 12202-2011
Mailing address
175 Green Street
Albany, NY 12202-2011
Phone (518) 447-4580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00473616 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120502000529 | NY | Part B Supplier - Mass Immunization (Roster Biller Only) | 8224941331 | Practice locations: Albany, NY |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryOwnership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Shaker Place Rehabiliation and Nursing Center | Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Jul 1, 1970 Jul 1, 1970 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Albany, NY
- NPI 1952309536
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
-
- Skilled Nursing Facility
- Albany, NY
- NPI 1801815915
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Albany, NY
- NPI 1235382995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1314835200000",
"number": "1851401186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 GREEN STREET",
"city": "ALBANY",
"state": "NY",
"postal_code": "122022011",
"telephone_number": "518-447-4580",
"fax_number": "518-447-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 GREEN STREET",
"city": "ALBANY",
"state": "NY",
"postal_code": "122022011",
"telephone_number": "518-447-4580",
"fax_number": "518-447-4580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF ALBANY DEPARTMENT OF HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2011-09-01",
"status": "A",
"authorized_official_last_name": "CRUCETTI",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "COMMISSIONER OF HEALTH",
"authorized_official_telephone_number": "518-447-4695",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D. M.P.H."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00473616",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
- Lynn Coughlin, IBCLC/RN
- Counseling for Laity Roman Catholic Diocese of Albany Ny
- Counseling for Restored Hope LCSW, P.L.L.C.
- Counseling Service of the Episcopal Diocese of Albany, Inc
- Chandler Countryman, FNP
- Emily Couper
- Kirk William Courneen, RPH
- Adria Lee Couse
- Melonie Lee Cousin, SLP
- Jonathan Cousins, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.