EMBLEMHEALTH MEDICAL AND DENTAL SERVICES INC. (NPI# 1275823734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275823734 |
| Entity Type | Organization |
| Organization Name | EMBLEMHEALTH MEDICAL AND DENTAL SERVICES INC. |
| Other Organization Name | GHI FAMILY DENTAL PRACTICE/OEHC |
| Practice Address |
1873 Western Ave Suite 200 Albany NY 12203-5028 |
| Practice Telephone | 5188691044 |
| Practice Fax Number | 5188691965 |
| Mailing Telephone | 5188691044 |
| Mailing Fax Number | 5188691965 |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2012-07-30 |
| Authorized Official Name | MR. JONATHAN E BENN (MANAGER) |
| Authorized Official Telephone | 5188691717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
0101222R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FACILITY LICENSE | 0101222R | 01 |
| Other Name | Type Code |
|---|---|
| GHI Family Dental Practice/OEHC | Doing Business As Name - Organization |
| Street Address |
1873 WESTERN AVE SUITE 200 |
| City | ALBANY |
| State | NY |
| Zip Code | 12203-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215982079 | Jeffrey Perkins, M.d. | Family Medicine | 1873 Western Ave, Suite 101, Albany, NY 12203-5028 | 2006-05-23 |
| 1790223618 | Thomas Clemente | Dentist | 1873 Western Ave, Suite 200, Albany, NY 12203 | 2017-02-11 |
| 1306389598 | Kinkaid Family Chiropractic Pllc | Health Maintenance Organization | 1873 Western Ave, Suite 103, Albany, NY 12203-5028 | 2016-11-21 |
| 1306398425 | Jessica Marie Kinkaid | Chiropractor | 1873 Western Ave, Suite 103, Albany, NY 12203-5028 | 2016-10-25 |
| 1043674633 | Vijaya Sen Reddy Gaddam | Dentist | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2016-04-08 |
| 1518326776 | James Wu | Student in an Organized Health Care Education/Training Program | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2016-02-16 |
| 1043679475 | Sneha Reddy Godi | Student in an Organized Health Care Education/Training Program | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2016-02-12 |
| 1952769457 | Julien Remillard | Student in an Organized Health Care Education/Training Program | 1873 Western Ave, Albany, NY 12203-5028 | 2016-01-29 |
| 1841676087 | Justin Isaac Fox | Dentist | 1873 Western Ave, Albany, NY 12203-5028 | 2015-08-10 |
| 1326435553 | Danielle Shai | Dentist | 1873 Western Ave, Suite 200, Albany, NY 12203-5028 | 2015-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695885 | Claire Ellen Williams | Student in an Organized Health Care Education/Training Program | Advanced Therapy, Pllc, 10b Madison Avenue Extension, Albany, NY 12203 | 2020-09-23 |
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1205365640 | Esther Pearl Jackson | Counselor | 41 North Allen St. - Pine Hills Elementary School, Albany, NY 12203 | 2017-06-08 |
| 1558899591 | Diane Marie Wyatt | Social Worker | 1044 Western Ave, Albany, NY 12203 | 2017-06-02 |
| 1366980419 | Lessie Lynette Johnson | Social Worker | 40 N. Main Ave, St. Catherine's Center for Children, Albany, NY 12203 | 2017-02-09 |
| 1588108617 | Theresa Viola Dicroce | Physical Therapy Assistant | One Rapp Road, Advanced Therapy, P.l.l.c., Albany, NY 12203 | 2016-12-08 |
| 1366813818 | Eileen Nancy Nagy | Audiologist | 14 Columbia Circle, Suite 202, Albany, NY 12203 | 2015-10-09 |
| 1609242197 | Jaclyn Whitman | Specialist | 230 Washington Ave Extention, Albany, NY 12203 | 2015-08-19 |
| 1447657457 | Joyce Yvette Dewitt-parker | Psychologist | 260 Washington Ave. Ext., Corporate Plaza, Suite 101, Albany, NY 12203 | 2014-11-20 |
| 1023357373 | Meredith Gaucher | Physical Therapist | 1971 Western Ave Ste 100, Albany, NY 12203 | 2013-02-06 |
| Find all providers in zip 12203 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1932372075 | Timber Linn Chiropractic Clinic | Clinic/Center | 2216 9th Ave Se, Albany, OR 97322-5022 | 2008-04-09 |
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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.