NPIMap

Organization Active NPI

Oldendorf Medical Services, PLLC

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1912545344
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OLDENDORF MEDICAL SERVICES, PLLC
Practice address
21 Everett Rd Ext
Albany, NY 12205-3357
Phone
(518) 435-1300
Fax
(518) 435-1397
NPI assigned
Dec 17, 2019
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
OLDENDORF MEDICAL SERVICES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mark OldendorfNPI 1427147800
Title
Owner
Phone
(518) 435-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary
Addiction Medicine (Internal Medicine) Physician 207RA0401X NU

Addresses

Primary practice location

21 Everett Rd Ext
Albany, NY 12205-3357

Mailing address

407 Albany Shaker Rd
Albany, NY 12211-1900
Phone (518) 435-1300

National Provider Directory

National Provider Directory
Part of
Oldendorf Medical Services

Locations

21 Everett Rd Ext
Albany, NY 12205
Phone (518) 435-1300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

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": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1912545344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ALBANY SHAKER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122111900",
            "telephone_number": "518-435-1300",
            "fax_number": "518-435-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EVERETT RD EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053357",
            "telephone_number": "518-435-1300",
            "fax_number": "518-435-1397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLDENDORF MEDICAL SERVICES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLDENDORF MEDICAL SERVICES, PLLC",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "OLDENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-435-1300"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.