NPIMap

Organization Active NPI

Albany Medical Center Hospital

  • Rehabilitation Hospital Unit
  • Albany, NY
National Provider Identifier
1871528620
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
0101000H Issued in NY
Legal business name
ALBANY MEDICAL CENTER HOSPITAL
Practice address
43 New Scotland Ave
Mail Code 29
Albany, NY 12208-3412
Phone
(866) 262-7476
Fax
(518) 262-6316
NPI assigned
Jul 11, 2006
Last updated
May 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Ms. Frances S. Albert
Title
Exec Vice President, Chief Operatin
Phone
(518) 262-3579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 0101000H NY Primary

Addresses

Primary practice location

43 New Scotland Ave
Mail Code 29
Albany, NY 12208-3412

Mailing address

43 New Scotland Ave
Mail Code 29
Albany, NY 12208-3412
Phone (866) 262-7476

Other identifiers 10

IdentifierTypeStateIssuer
00746OtherNYEMPIRE BLUE CROSS HIV
0121OtherNYMVP
00901OtherNYEMPIRE BLUE CROSS ACUTE
000400001001OtherNYBLUE SHIELD OF NENY PSYCH
00400001002OtherNYBLUE SHIELD OF NENY HIV
10005719OtherNYCDPHP
103522OtherNYWELLCARE
00277716MedicaidNY
00400001004OtherNYBLUE SHIELD OF NENY REHAB
000400001000OtherNYBLUE SHIELD OF NENY ACUTE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000448 NY Part A Provider - Hospital 8224018999 Practice locations: Albany, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871528620. Details of each certification follow.

Hospital certification: CCN 33T013

Legal name
ALBANY MEDICAL CENTER HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Apr 11, 1849 in NY
Enrollment address
43 New Scotland Ave
Mail Code 34
Albany, NY 12208-3412
Hospital Rehabilitation Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Albany Medical Center HospCCN 33T013 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1986

National Provider Directory

National Provider Directory
Tax ID family
Albany Medical Center Hospi9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 43

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

NameRoleSinceShare
John B Robinson Individual Corporate DirectorEmeritus Board Member Sep 26, 1989
Dennis P McKenna Individual Corporate OfficerPresident & Ceo Apr 1, 2020
Corporate DirectorBoard Member Apr 1, 2020
Lisa J Moser Individual Corporate DirectorBoard Member Jul 1, 2020
Prudential Huntoon Paige Associates, LLC. Organization, Dallas, TX Created for acquisition, Financial institution, For-profit 5% Or Greater Mortgage Interest Sep 30, 2014 29.9%
Margaret J Gillis Individual Corporate DirectorBoard Member Oct 26, 2012
Frances S Albert Individual Corporate OfficerTreasurer Jul 1, 2016
Mary C Kahl Individual Corporate DirectorEmeritus Board Member May 1, 1984
Mary G Biebel Individual Corporate DirectorBoard Member Jan 1, 2016
Janice a Smith Individual Corporate DirectorBoard Member Nov 5, 2008
Morris C Massry Individual Corporate DirectorBoard Member Jul 1, 2015
John B O'Connor Individual Corporate DirectorBoard Member Jun 1, 2005
Albany Med Health System Organization, Albany, NY Non-profit Operational/Managerial Control Apr 12, 2021 100%
Peter H Heerwagen Individual Corporate DirectorBoard Member Feb 3, 1999
Peter Paige Individual Corporate OfficerHospital Ceo May 9, 2022
W-2 Managing EmployeeEvp & Hospital General Director May 9, 2022
Glenda Kelman Individual Corporate DirectorBoard Member Jul 1, 2021
James J Barba Individual Corporate DirectorBoard Member Dec 1, 1979
James O Jackson Individual Corporate DirectorBoard Member Aug 4, 1999
Theresa M Skaine Individual Corporate DirectorBoard Member Jan 1, 2019
Candace K King Weir Individual Corporate DirectorBoard Member Aug 4, 1999
Shelly a Breton Individual W-2 Managing EmployeeVP - Revenue Cycle Services Dec 17, 2001
Sujata N Chaudhry Individual Corporate DirectorBoard Member Jul 1, 2020
James E Cullum Individual Corporate DirectorBoard Member Jul 1, 2021
Steven Parnes Individual Corporate DirectorBoard Member Jul 1, 1993
Kirk Kneller Individual Corporate OfficerBoard Member Jul 1, 2022
Lillian M Moy Individual Corporate DirectorBoard Member Nov 1, 2006
Jeffrey D Stone Individual Corporate DirectorBoard Member Nov 5, 2008
Douglas Hamlin Individual Corporate DirectorBoard Member May 7, 2008
Daniel T. Pickett Individual Corporate DirectorBoard Member Mar 7, 2012
Sharon M Duker Individual Corporate DirectorBoard Member May 7, 2014
Ruth H Mahoney Individual Corporate DirectorBoard Member Jul 1, 2015
John J Nigro Individual Corporate DirectorBoard Member Feb 6, 2006
Michael H Iacolucci Individual Corporate DirectorBoard Member Jan 1, 2017
Carolyn J Stefanco Individual Corporate DirectorBoard Member Sep 5, 2018
Anthony M Durante Individual Corporate DirectorBoard Member Sep 13, 2017
Raimundo C Archibold Individual Corporate DirectorBoard Member Mar 7, 2012
Robert T Cushing Individual Corporate DirectorBoard Member Feb 1, 2004
Carol H Kim Individual Corporate DirectorBoard Member Jul 1, 2020
Michael Toohey Individual Corporate DirectorBoard Member Jan 1, 2021
Todd M Tidgewell Individual Corporate DirectorBoard Member Mar 3, 2010
David Golub Individual Corporate DirectorBoard Member Nov 1, 2000
Matthew C Jones Individual Corporate Officer Jul 5, 2017
Janice M White Individual Corporate DirectorBoard Member Jan 1, 2017
Robert W Diesel Individual Corporate DirectorBoard Member Nov 2, 2005

Owners & managing parties with NPI records 4

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

Facilities with the same owner 4

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

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557446400000",
    "number": "1871528620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "address_2": "MAIL CODE 29",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "866-262-7476",
            "fax_number": "518-262-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "address_2": "MAIL CODE 29",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "866-262-7476",
            "fax_number": "518-262-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY MEDICAL CENTER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-05-10",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "EXEC VICE PRESIDENT, CHIEF OPERATIN",
        "authorized_official_telephone_number": "518-262-3579",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NY",
            "license": "0101000H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS HIV",
            "identifier": "00746",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "0121",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS ACUTE",
            "identifier": "00901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NENY PSYCH",
            "identifier": "000400001001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NENY HIV",
            "identifier": "00400001002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10005719",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "103522",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00277716",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NENY REHAB",
            "identifier": "00400001004",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NENY ACUTE",
            "identifier": "000400001000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.