NPIMap

Individual provider Active NPI

Mark White

  • Urology Physician
  • Albany, NY
National Provider Identifier
1962586776
Registry record updated May 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
199165 Issued in NY
Practice address
The Urological Institute of Northeastern New York
South Clinical Campus, 23 Hackett Blvd.
Albany, NY 12208
Phone
(518) 262-3341
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 199165 NY Primary

Addresses

Primary practice location

The Urological Institute of Northeastern New York
South Clinical Campus, 23 Hackett Blvd.
Albany, NY 12208

Mailing address

711 Troy Schenectady Rd
Suite 201
Latham, NY 12110-2442
Phone (518) 782-3700

Other identifiers 1

IdentifierTypeStateIssuer
01862197MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224000900 NY Practitioner - Urology 3971499278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

1783 Route 9
Halfmoon, NY 12065-2467
Phone (518) 262-5575

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Aurelia Osborn Fox Memorial Hospital Hospital, Oneonta, NY, CCN 330085

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
199165NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince May 1, 2017 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince May 1, 2017 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
Columbia Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Columbia Memorial Hospital CurrentSince Mar 1, 2022 Accepting new patients
Albany Medical Center Hospital Past Accepting new patients
Community Care Physicians, PC Past Accepting new patients

Locations

25 Hackett Blvd
Albany, NY 12208
Phone (518) 262-1200

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

23 Hackett Blvd
Albany, NY 12208
Phone (518) 262-3296

1783 Route 9
Ste 203
Halfmoon, NY 12065
Phone (518) 213-6910

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: mwhite30735@albanymed.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1962586776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE UROLOGICAL INSTITUTE OF NORTHEASTERN NEW YORK",
            "address_2": "SOUTH CLINICAL CAMPUS, 23 HACKETT BLVD.",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-3341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "MARK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "199165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01862197",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.