ST. PETER'S HOSPITAL OF THE CITY OF ALBANY (NPI# 1487725750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487725750 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HOSPITAL OF THE CITY OF ALBANY |
| Other Organization Name | ST. PETER'S RENSSELAER HEALTH CENTER |
| Practice Address |
53 Columbia Street Rensselaer NY 12144-2933 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5184342526 |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02333773 | 05 |
| Other Name | Type Code |
|---|---|
| SPH RENSSELAER HEALTH CTR | Doing Business As Name - Organization |
| St. Peter's Rensselaer Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245682442 | St. Peter's Hospital of The City of Albany | Nurse Practitioner | 1 Pine West Plaza, Washington Ave Ext., Suite 101, Albany, NY 12205-5537 | 2016-07-12 |
| 1194943670 | St. Peter's Hospital of The City of Albany | General Acute Care Hospital | 636 New Loudon Road, Latham, NY 12110-4002 | 2007-04-23 |
| 1598982548 | St. Peter's Hospital of The City of Albany | Family Medicine | 125 High Rock Ave, Saratoga Springs, NY 12866-2307 | 2007-04-19 |
| 1669698601 | St. Peter's Hospital of The City of Albany | Family Medicine | 64 2nd Avenue, Albany, NY 12202-1240 | 2007-04-18 |
| 1689184830 | St. Peter's Hospital of The City of Albany | Family Medicine | 315 South Manning Blvd, Labor and Delivery, Albany, NY 12208-1707 | 2017-10-02 |
| 1982141537 | St. Peter's Hospital of The City of Albany | Psychologist | 315 South Manning Blvd, Albany, NY 12208-1707 | 2017-01-20 |
| 1144407024 | St. Peter's Hospital of The City of Albany | Physician Assistant | 317 South Manning Blvd, Suite 220, Albany, NY 12208-1738 | 2008-01-23 |
| 1265508659 | St. Peter's Hospital of The City of Albany | Nurse Practitioner | 315 South Manning Blvd, Albany, NY 12208-1707 | 2006-11-28 |
| 1548336936 | St. Peter's Hospital of The City of Albany | Obstetrics & Gynecology | 1240 New Scotland Road, Slingerlands, NY 12159-9276 | 2006-11-28 |
| 1073686069 | St. Peter's Hospital of The City of Albany | Family Medicine | 1240 New Scotland Road, Suite 100, Slingerlands, NY 12159-9221 | 2006-11-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. PETER'S HOSPITAL OF THE CITY OF ALBANY | 315 S Manning Blvd, Albany, NY 12208-1707 |
| New York State Corporations | ST. PETER'S HOSPITAL OF THE CITY OF ALBANY | 28 Liberty Street, New York, New York 10005 |
| Street Address |
53 COLUMBIA STREET |
| City | RENSSELAER |
| State | NY |
| Zip Code | 12144-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154867620 | Ataul Ghani | Physician Assistant | 53 Columbia Street, St. Peter's Hospital Rensselaer Health Center, Rensselaer, NY 12144-2933 | 2017-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955567 | Sherisa Moore | Registered Nurse | 17 River Chase Drive, B, Rensselaer, NY 12144 | 2019-10-29 |
| 1811553738 | Joel C Campbell | Licensed Practical Nurse | 419 Northgreenbush Road, Rensselaer, NY 12144 | 2019-05-16 |
| 1063956688 | Ashley F Bertorelli | Physical Therapist | 476 N Greenbush Rd Ste 3, Rensselaer, NY 12144 | 2016-12-16 |
| 1184066060 | Stefanie L Walsh | Physical Therapist | 2 Empire Dr Ste 202, Rensselaer, NY 12144 | 2013-07-22 |
| 1821347550 | C & L Transport Inc. | Non-emergency Medical Transport (VAN) | 27 Columbia Street, Rensselaer, NY 12144 | 2012-09-10 |
| 1639448376 | Harry William Letko | Licensed Practical Nurse | 456b North Greenbush Rd, Rensselaer, NY 12144 | 2011-12-27 |
| 1285901827 | Tammy Ellen Barbour | Registered Nurse | 25 Vanrensselaer Dr., Rensselaer Academy, Rensselaer, NY 12144 | 2011-11-28 |
| 1144474693 | Peter Patrick Martin | Occupational Therapist | 24 Oak Street, Rensselaer, NY 12144 | 2008-11-11 |
| 1487820064 | Kathleen Powell | Pharmacist | 501 Columbia Turnpike, Price Chopper, Rensselaer, NY 12144 | 2008-05-05 |
| 1609065788 | Stefan J Fosco | Audiologist | 2 Empire Dr Ste 204, Rensselaer, NY 12144 | 2007-10-15 |
| Find all providers in zip 12144 | ||||
| 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 |
|---|---|---|---|---|
| 1710359534 | Seton Health System, Inc. | Internal Medicine | 2 Empire Dr, Rensselaer, NY 12144-5730 | 2015-10-21 |
| 1407230501 | Grainne O' Malley | Internal Medicine | 118 W Drexel Pkwy, Rensselaer, IN 47978 | 2015-07-17 |
| 1619313327 | Nuria E Rosa Mercadal | Internal Medicine | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2013-05-21 |
| 1811244684 | Samaritan Hospital of Troy, New York | Internal Medicine | 279 Troy Road, Rensselaer, NY 12144 | 2012-08-10 |
| 1649539180 | Vishwala Kasbekar | Internal Medicine | 2 Empire Dr, Suite 100, Rensselaer, NY 12144-5730 | 2012-05-03 |
| 1477812956 | Kirk Jihyon Pak | Internal Medicine | 1104 E Grace St, Rensselaer, IN 47978 | 2012-05-03 |
| 1235455783 | Kyle Anderson Turner | Internal Medicine | 1104 E Grace St, Rensselaer, IN 47978-3211 | 2010-04-08 |
| 1316907819 | Alejandro A. Vega | Internal Medicine | 1104 E Grace St, Rensselaer, IN 47978 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1811598055 | Hudson Valley Clinica Medica | Internal Medicine | 110 Stage Rd, Monroe, NY 10950-3513 | 2020-11-04 |
| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1295341535 | Reside Health Medical Group, Pllc | Internal Medicine | 520 Broadway Fl 4, New York, NY 10012-4436 | 2020-09-22 |
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1578177929 | Ar Personal Medical Care P.C. | Internal Medicine | 4102 75th Street, Elmhurst, NY 11373-3745 | 2020-09-03 |
| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | RENSSELAER |
| Zip Code | 12144 |
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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.