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Organization Active NPI

Samaritan Hospital of Troy, New York

  • Psychiatric Hospital Unit
  • Troy, NY
National Provider Identifier
1861437832
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
4102002H Issued in NY
Legal business name
SAMARITAN HOSPITAL OF TROY, NEW YORK
Practice address
2215 Burdett Ave
Troy, NY 12180
Phone
(518) 271-3300
Fax
(518) 471-3254
NPI assigned
Jun 16, 2006
Last updated
Feb 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SAMARITAN HOSPITAL OF TROY, NEW YORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Authorized official

Name
Gary Terk
Title
Credentialing Manager
Phone
(518) 525-5634

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Psychiatric Hospital Unit 273R00000X 4102002H NY Primary
General Acute Care Hospital 282N00000X 4102002H NU

Addresses

Primary practice location

2215 Burdett Ave
Troy, NY 12180

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other identifiers 1

IdentifierTypeStateIssuer
00318805MedicaidNY

Other names 1

  • Samaritan Behavioral Health Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions
Direct Messaging Address payer.credentialing@sphp.com Direct Samaritan Hospital of Troy, New York

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070320000027 NY Part A Provider - Hospital 6507770070 Practice locations: Troy, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861437832. Details of each certification follow.

Hospital certification: CCN 33S180

Legal name
SAMARITAN HOSPITAL OF TROY, NEW YORK
Doing business as
SAMARITAN HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Jul 15, 1896 in NY
Enrollment address
2215 Burdett Ave
Troy, NY 12180-2466
Hospital Psychiatric Unit
Hospital subgroups
General, Acute care, Psychiatric, Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Igor a Kraev27 organizations share this tax ID, including this one
Part of
Igor a Kraev

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie Edmunds Smith Individual Corporate OfficerCfo Jan 1, 2025
Merriette Pollard Individual Corporate DirectorBoard Member Oct 1, 2022
Eric Farrell Individual Corporate OfficerSecretary Oct 1, 2022
Corporate DirectorBoard Member Oct 1, 2022
St Peters Health Partners Organization, Albany, NY Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 1, 2013
Patricia Lapczynski Individual Corporate DirectorBoard Member Apr 1, 2025
John Marshall Individual Corporate OfficerTreasurer Oct 5, 2022
Corporate DirectorBoard Member Oct 5, 2022
Kathleen M Jimino Individual Corporate OfficerChair Oct 5, 2022
Corporate DirectorBoard Member Nov 1, 2019
Lori M Santos Individual W-2 Managing EmployeeVP of Finance Oct 1, 2011
William Wildridge Individual Corporate OfficerVice Chair Oct 1, 2022
Corporate DirectorBoard Member Oct 1, 2022
Steven Donald Hanks Individual Corporate OfficerPresident & Ceo, MD Jan 25, 2022
Michael Meath Individual Corporate DirectorBoard Member Oct 1, 2022
Guha Bala Individual Corporate DirectorBoard Member Nov 1, 2019
Gina Myers Individual Corporate DirectorBoard Member Oct 1, 2022
Tom W Robert Individual Corporate OfficerCfo Jan 1, 2007
George R Hearst Individual Corporate DirectorBoard Member Jan 1, 2025
Marguerite Sullivan Individual Corporate DirectorBoard Member Jan 1, 2025
Trinity Health Corporation Organization, Livonia, MI Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jul 1, 2014 100%
Daniel Isacksen Individual Corporate DirectorBoard Member Oct 1, 2022
Stuart Kilpinen Individual Operational/Managerial ControlChain Home Office Administrator Jun 10, 2023
Kerri Sweet Zavaglia Individual Corporate DirectorBoard Member Oct 1, 2022
Robert J McCormick Individual Corporate DirectorBoard Member Jan 1, 2015
Oluwatoyin Tofade Individual Corporate DirectorBoard Member Oct 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1861437832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-271-3300",
            "fax_number": "518-471-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITAN HOSPITAL OF TROY, NEW YORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAMARITAN HOSPITAL OF TROY, NEW YORK",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "TERK",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "518-525-5634"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NY",
            "license": "4102002H",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": "4102002H",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00318805",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "Y",
            "endpointDescription": "SPHP Payer Credentialing",
            "affiliationName": "Samaritan Hospital of Troy, New York",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2215 Burdett Ave",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Samaritan Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.