Active NPI
Peter Albert, M.D.
- Urology Physician
- Staten Island, NY
National Provider Identifier
1942292008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 109144
- Practice address
- 1460 Victory Blvd
Staten Island, NY 10301-3914 - Phone
- (718) 273-8100
- Fax
- (718) 876-0370
- NPI assigned
- Aug 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 109144 | NY | Primary |
Addresses
Primary practice location
1460 Victory Blvd
Staten Island, NY 10301-3914
Mailing address
1460 Victory Blvd
Staten Island, NY 10301-3914
Phone (718) 273-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00193417 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 109144 | NY | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942292008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013914",
"telephone_number": "718-273-8100",
"fax_number": "718-876-0370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103013914",
"telephone_number": "718-273-8100",
"fax_number": "718-876-0370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBERT",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "109144",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00193417",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.