NPIMap

Organization Active NPI

St. Mary'S Healthcare

  • Family Medicine Physician
  • St. Johnsville, NY
National Provider Identifier
1992065767
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
170054 Issued in NY
Legal business name
ST. MARY'S HEALTHCARE
Practice address
7 Timmerman Ave
St. Johnsville, NY 13452
Phone
(518) 568-7145
Fax
(518) 568-7147
NPI assigned
May 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

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

Authorized official

Name
Nancy Collins
Title
Director, Primary Care
Phone
(518) 841-7430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 170054 NY Primary

Addresses

Primary practice location

7 Timmerman Ave
St. Johnsville, NY 13452

Mailing address

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7430

National Provider Directory

National Provider Directory
Tax ID family
St Mays Hospital22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1992065767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 GUY PARK AVE",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "12010",
            "telephone_number": "518-841-7430",
            "fax_number": "518-841-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 TIMMERMAN AVE",
            "city": "ST. JOHNSVILLE",
            "state": "NY",
            "postal_code": "13452",
            "telephone_number": "518-568-7145",
            "fax_number": "518-568-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR, PRIMARY CARE",
        "authorized_official_telephone_number": "518-841-7430"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "170054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Johnsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.