ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC (NPI# 1427393149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427393149 |
| Entity Type | Organization |
| Organization Name | ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Other Organization Name | PRIME CARE-111 MARY'S AVE- |
| Practice Address |
111 Marys Ave Suite 3 Kingston NY 12401-5852 |
| Mailing Address |
4 Atrium Dr Suite 100 Albany NY 12205-1441 |
| Practice Telephone | 8453393663 |
| Practice Fax Number | 8453393629 |
| Mailing Telephone | 5184352740 |
| Mailing Fax Number | 5186494060 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | PAUL GORDON (DIR FIN/ADMIN PHYS ENTERPRISE) |
| Authorized Official Telephone | 5185251585 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PRIME CARE-111 MARY'S AVE- | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821335233 | St Peters Health Partners Medical Associates, PC | Nurse Practitioner | 2 New Hampshire Avenue Suite 200, Albany Associates In Cardiology, Albany, NY 12180-1762 | 2013-01-07 |
| 1376888032 | St Peters Health Partners Medical Associates, PC | Internal Medicine | 26 N Front St, New Paltz, NY 12561-1410 | 2012-12-06 |
| 1497090146 | St Peters Health Partners Medical Associates, PC | Internal Medicine | 156 Quaker Road, Albany Associates In Cardiology, Queensbury, NY 12804-1718 | 2012-12-06 |
| 1164767828 | St Peters Health Partners Medical Associates, PC | Nutritionist | 4 Palisades Drive, Suite 100, Albany, NY 12205-1443 | 2012-12-06 |
| 1598000655 | St Peters Health Partners Medical Associates, PC | Emergency Medicine | 1444 Western Avenue, Suite C, St. Peter's Family Medicine, Albany, NY 12203 | 2012-11-30 |
| 1861733701 | St Peters Health Partners Medical Associates, PC | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2013-03-01 |
| 1780929133 | St Peters Health Partners Medical Associates, PC | Radiology | 315 South Manning Blvd, Sphpma Radiology Division, Albany, NY 12208-1707 | 2012-12-11 |
| 1306181961 | St Peters Health Partners Medical Associates, PC | Nurse Practitioner | 582 New Loudon Rd, Latham, NY 12110-4029 | 2012-12-07 |
| 1760727325 | St Peters Health Partners Medical Associates, PC | Internal Medicine | 63 Albany Shaker Rd, Suite 102, Albany, NY 12204-1030 | 2012-12-07 |
| 1144565714 | St Peters Health Partners Medical Associates, PC | Dietitian, Registered | 1444 Western Ave Ste B2, Albany, NY 12203-3440 | 2012-12-07 |
| Street Address |
111 MARYS AVE SUITE 3 |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-5852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101019 | Paul M Reiter | Internal Medicine | 111 Marys Ave, Suite 3, Kingston, NY 12401-5852 | 2005-08-17 |
| 1427592609 | Health Quest Medical Practice, PC | Radiology | 111 Marys Ave, Suite 1, Kingston, NY 12401-5852 | 2016-12-07 |
| 1801016894 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 111 Marys Ave, Suite 3, Kingston, NY 12401-5852 | 2007-05-01 |
| 1790865764 | Rachid Elkoustaf | Internal Medicine | 111 Marys Ave, Suite 3, Kingston, NY 12401-5852 | 2006-10-16 |
| 1457445330 | Jose R Sotolongo | Urology | 111 Marys Ave, Kingston, NY 12401 | 2006-10-03 |
| 1487633723 | Taik H Kim | Radiology | 111 Marys Ave, Kingston, NY 12401-5852 | 2006-01-14 |
| 1285613539 | Camilo G Torres | Radiology | 111 Marys Ave, Kingston, NY 12401-5852 | 2006-01-14 |
| 1013996404 | Dimitrios P Papadopoulos | Radiology | 111 Marys Ave, Kingston, NY 12401-5852 | 2006-01-13 |
| 1255310751 | Edward M Farhangi | Radiology | 111 Marys Ave, Kingston, NY 12401-5852 | 2006-01-12 |
| 1194704601 | Thomas V Mazzilli | Radiology | 111 Marys Ave, Kingston, NY 12401-5852 | 2006-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053714881 | Mikael Dawit Tulloch-reid | Internal Medicine | Heart Institute of The Caribbean, 23 Balmoral Avenue, Kingston, KINGSTON KINGSTON 10 | 2014-10-07 |
| 1407909021 | John E. Hoey | Internal Medicine | 324 Plaza Rd, Kingston, NY 12401-2975 | 2007-01-18 |
| 1588722979 | Adnan Kamel El-amine | Internal Medicine | 11 Tremont St, Kingston, MA 02364-1231 | 2006-12-05 |
| 1912016692 | Wyoming Valley Internal Medicine | Internal Medicine | 571 Wyoming Avenue, Kingston, PA 18704-3719 | 2006-08-29 |
| 1659399210 | B E Ohara | Internal Medicine | 327 Albany Ave, Kingston, NY 12401-2544 | 2006-07-18 |
| 1376596445 | Raymond Lippert | Internal Medicine | 89 John St, Kingston, NY 12401 | 2006-05-18 |
| 1861444671 | Lee Isabell | Internal Medicine | 334 Plaza Road, Kingston, NY 12401 | 2006-05-17 |
| 1376508119 | Reham I El-shaer | Internal Medicine | 301 Hurley Ave, Kingston, NY 12401 | 2006-04-17 |
| 1174598965 | Rachel Dela Cruz Canseco-berbano | Internal Medicine | 445 Wyoming Avenue, Kingston, PA 18704 | 2006-02-23 |
| 1396723466 | Edward Simon | Internal Medicine | 25989 Barber Cut Off Rd Ne, Suite A3, Kingston, WA 98346-8455 | 2006-01-09 |
| Find all providers in KINGSTON | ||||
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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.