NPIMap

Organization Active NPI

St Peters Health Partners Medical Associates, PC

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1922343524
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Practice address
4 Palisades Dr
Suite 150
Albany, NY 12205-1443
Phone
(518) 458-1245
Fax
(518) 438-1398
NPI assigned
Dec 7, 2012
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Paul Gordon
Title
Dir Fin/Admin Phys Enterprise
Phone
(518) 525-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

4 Palisades Dr
Suite 150
Albany, NY 12205-1443

Mailing address

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1585

Other names 1

  • PRIME CARE-4 PALISADES -SUITE 150 Other name

National Provider Directory

National Provider Directory
Tax ID family
Sphpma Crus Urology96 organizations share this tax ID, including this one
Part of
Sphpma Crus Urology

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1922343524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-525-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PALISADES DR",
            "address_2": "SUITE 150",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051443",
            "telephone_number": "518-458-1245",
            "fax_number": "518-438-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC",
        "enumeration_date": "2012-12-07",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIR FIN/ADMIN PHYS ENTERPRISE",
        "authorized_official_telephone_number": "518-525-1585"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIME CARE-4 PALISADES -SUITE 150",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 21, 2014; 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.