NPIMap

Organization Active NPI

St. Mary's Healthcare

  • Pediatrics Physician
  • Johnstown, NY
National Provider Identifier
1851651632
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
169951 Issued in NY
Legal business name
ST. MARY'S HEALTHCARE
Practice address
700 South Perry St
Johnstown, NY 12095
Phone
(518) 762-3161
Fax
(518) 762-4002
NPI assigned
May 25, 2012
Last updated
May 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Nancy Collins
Title
Director, Primary Care
Phone
(518) 841-7407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 169951 NY Primary

Addresses

Primary practice location

700 South Perry St
Johnstown, NY 12095

Mailing address

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7430

National Provider Directory

National Provider Directory
Tax ID family
St Marys Hosp Fam HLTH22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

Organizations that report the same tax identification number in the National Provider Directory.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1851651632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 GUY PARK AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-841-7430",
            "fax_number": "518-841-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SOUTH PERRY ST",
            "city": "JOHNSTOWN",
            "state": "NY",
            "postal_code": "12095",
            "telephone_number": "518-762-3161",
            "fax_number": "518-762-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR, PRIMARY CARE",
        "authorized_official_telephone_number": "518-841-7407"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "169951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.