Organization Active NPI

County of Albany Department of Health

  • Public Health or Welfare Agency
  • Albany, NY
National Provider Identifier
1851401186
Registry record updated Sep 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2011

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.NPI 1235382995
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00473616MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Ownership & 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.

FacilityTypeRoleSince
Shaker Place Rehabiliation and Nursing CenterAlbany, NY, CCN 335425 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.

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.

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

Sources for this page

Verify at the official NPI Registry.