ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC (NPI# 1497090062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497090062 |
| Entity Type | Organization |
| Organization Name | ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Other Organization Name | 67 PROSPECT AVENUE-SUITE 210 |
| Practice Address |
67 Prospect Ave Suite 210 Hudson NY 12534-2917 |
| Mailing Address |
315 S Manning Blvd Albany NY 12208-1707 |
| Practice Telephone | 5184582000 |
| Practice Fax Number | 5184581524 |
| Mailing Telephone | 5185251585 |
| Mailing Fax Number | 5185256199 |
| Enumeration Date | 2012-12-07 |
| 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 |
|---|---|---|---|---|---|
| Y | 246X00000X | Spec/Tech, Cardiovascular | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| 67 PROSPECT AVENUE-SUITE 210 | 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 |
67 PROSPECT AVE SUITE 210 |
| City | HUDSON |
| State | NY |
| Zip Code | 12534-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912902636 | Alexandr L Safarov | Psychiatry & Neurology | 67 Prospect Ave, Suite 160, Hudson, NY 12534-2914 | 2005-06-17 |
| 1750690509 | Charlotte P Sloan | Nurse Practitioner | 67 Prospect Ave, Suite 290, Hudson, NY 12534-2917 | 2010-09-28 |
| 1083947063 | Northland Hearing Centers, Inc. | Hearing Instrument Specialist | 67 Prospect Ave, Hudson, NY 14550-2917 | 2009-09-09 |
| 1205021938 | Elaine Hulei | Psychologist | 67 Prospect Ave, Suite 290, Hudson, NY 12534-2917 | 2007-09-06 |
| 1073569232 | Vinod K Gupta | Internal Medicine | 67 Prospect Ave, Suite 210, Hudson, NY 12534-2907 | 2006-05-26 |
| 1811943087 | Hiral Amin | Internal Medicine | 67 Prospect Ave, Suite 210, Hudson, NY 12534-2907 | 2006-05-26 |
| 1336195510 | Vinny Anand | Internal Medicine | 67 Prospect Ave, Suite 210, Hudson, NY 12534-2907 | 2006-05-26 |
| 1558315440 | Michael Brown | Internal Medicine | 67 Prospect Ave, Suite 210, Hudson, NY 12534-2907 | 2006-05-22 |
| 1376596304 | Twin County Medical Associates, PC | Internal Medicine | 67 Prospect Ave, Suite 210, Hudson, NY 12534-2907 | 2006-05-19 |
| 1407809924 | H Louis Clinton | Internal Medicine | 67 Prospect Ave, Suite 210, Hudson, NY 12534-2907 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426446 | Sharyn Ann Flesher | Registered Nurse | 131 Union Turnpike, Columbia-greene Education Center, Hudson, NY 12534 | 2015-05-08 |
| 1205239233 | Rachel N Lopez | Nurse Practitioner | 67 Prospect Avenue, Suite 250, Hudson, NY 12534 | 2014-10-05 |
| 1649601535 | Joan Delisca Groll | Registered Nurse | 215 Harry Howard Avenue, Hudson, NY 12534 | 2013-12-03 |
| 1497001358 | Columbia Memorial Hospital | Clinic/Center | 71 Prospect Ave Ste 190, Hudson, NY 12534 | 2012-07-30 |
| 1366751653 | Carri Coons | Licensed Practical Nurse | 140 Maple Lane Lot 85, Husdon, NY 12534 | 2010-10-04 |
| 1013244185 | Richard B Weininger | Internal Medicine | 125 Millbrook Road, Hudson, NY 12534 | 2009-11-11 |
| 1417196155 | Triform Enterprises Ltd. | Day Training, Developmentally Disabled Services | 20 Triform Road, Hudson, NY 12534 | 2009-02-19 |
| 1881854966 | Foot Specialist Associates P.C. | Podiatrist | 540 Joslen Boulevard, Hudson, NY 12534 | 2008-06-12 |
| 1659558989 | Gary L Stoller | Dentist | 5 Mckinstry Pl, Hudson, NY 12534 | 2008-01-29 |
| 1255523502 | Pulcher & Sacco Inc | Bus | 469 Fairview Ave, Hudson, NY 12534 | 2007-08-10 |
| Find all providers in zip 12534 | ||||
| Taxonomy Code | 246X00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 159. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932465416 | Timothy J Zorn | Spec/Tech, Cardiovascular | 25 Bridlewood Loop, Rexford, NY 12148-1701 | 2012-04-09 |
| 1093941718 | North Country Vascular Diagnostics, Inc | Spec/Tech, Cardiovascular | 46 Elm St, Billing Office, Glens Falls, NY 12801-3524 | 2009-06-09 |
| 1346462736 | Amk Imaging, Inc | Spec/Tech, Cardiovascular | 5022 15th Ave, Brooklyn, NY 11219 | 2007-05-03 |
| 1841365905 | Peter Digrazia | Spec/Tech, Cardiovascular | 8709 16th Ave, Brooklyn, NY 11214-4525 | 2006-11-22 |
| 1053773549 | Northeast Vascular Imaging Group Inc | Spec/Tech, Cardiovascular | 25 Bridlewood Loop, Rexford, NY 12148-1701 | 2016-03-23 |
| 1548632771 | Cardiac Rms LLC | Spec/Tech, Cardiovascular | 12 Brookside Dr, Saratoga Springs, NY 12866-6302 | 2015-10-27 |
| 1972924017 | Third Avenue Open Mri | Spec/Tech, Cardiovascular | 2781 3rd Ave, Bronx, NY 10455-4002 | 2013-12-16 |
| 1083871248 | Stat Portable X-ray Inc | Spec/Tech, Cardiovascular | 21118 Union Tpke, Oakland Gardens, NY 11364-3241 | 2008-05-16 |
| 1609055136 | Clinical Monitoring Service | Spec/Tech, Cardiovascular | 1615 Avenue I, Apt 220, Brooklyn, NY 11230-3049 | 2007-11-01 |
| 1073690566 | Tlc Diagnostics, LLC | Spec/Tech, Cardiovascular | 50 Main St, East Rockaway, NY 11518-1929 | 2006-11-01 |
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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.