SETON HEALTH SYSTEM (NPI# 1235503871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235503871 |
| Entity Type | Organization |
| Organization Name | SETON HEALTH SYSTEM |
| Other Organization Name | ST. PETER'S PEDIATRICS |
| Practice Address |
1 Tallow Wood Dr Clifton Park NY 12065-2807 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5186880295 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2017-10-02 |
| Authorized Official Name | LORI SANTOS (CFO) |
| Authorized Official Telephone | 5185255537 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| St. Peter's Pediatrics | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811447493 | Seton Health System | Obstetrics & Gynecology | 713 Troy Schenectady Rd, Suite 304, Latham, NY 12110-2490 | 2016-10-07 |
| 1154795714 | Seton Health System | Registered Nurse | 147 Hoosick St, Troy, NY 12180-2393 | 2015-11-19 |
| 1255705885 | Seton Health System | Clinic/Center | 2 Empire Dr, Suite 101, Rensselaer, NY 12144-5730 | 2015-11-19 |
| 1619341252 | Seton Health System | Obstetrics & Gynecology | 2 Empire Dr, Suite 100, Rensselaer, NY 12144-5730 | 2015-11-19 |
| 1659744464 | Seton Health System | Obstetrics & Gynecology | 2231 Burdett Ave, Suite 101, Troy, NY 12180-2480 | 2015-11-03 |
| 1609249416 | Seton Health System | Obstetrics & Gynecology | 855 Route 146, Suite 150, Clifton Park, NY 12065-3890 | 2015-11-03 |
| 1700259512 | Seton Health System | Obstetrics & Gynecology | 55 Mohawk St, Cohoes, NY 12047-2629 | 2015-11-03 |
| 1912308230 | Seton Health System | Pediatrics | 500 Federal St, Suite 602, Troy, NY 12180-2832 | 2014-09-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SETON HEALTH SYSTEM, INC. | 111 Eighth Avenue, New York, New York 10011 |
| Street Address |
1 TALLOW WOOD DR |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942287842 | James C Craig | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2005-12-30 |
| 1043866346 | Erin Kathryn Student | Nurse Practitioner | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2019-08-13 |
| 1992282875 | Mary Grace Mendoza | Nurse Practitioner | 1 Tallow Wood Dr, Clifton Park, NY 12065 | 2018-07-24 |
| 1457722795 | Seton Health System, Inc. | Internal Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2015-10-13 |
| 1740544576 | Rajendra Patel PC | Surgery | 1 Tallow Wood Dr, Suite 6, Clifton Park, NY 12065-2807 | 2012-06-26 |
| 1841584018 | Alice Yu | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2011-06-06 |
| 1659689834 | Ellen A. Brignola | Nurse Practitioner | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2010-09-21 |
| 1336460823 | Mark Doyle | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065 | 2010-06-18 |
| 1184854101 | Neema R. Afejuku-adelaja | Family Medicine | 1 Tallow Wood Dr, Clifton Park, NY 12065-2807 | 2009-07-24 |
| 1851580138 | Capital District Podiatry, Pllc | Podiatrist | 1 Tallow Wood Dr, Suite 7, Clifton Park, NY 12065-2807 | 2007-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417332933 | Columbia University | General Acute Care Hospital | 16 Castle Pnes, Clifton Park, NY 12065-2128 | 2015-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.