ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC (NPI# 1497090146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497090146 |
| Entity Type | Organization |
| Organization Name | ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Other Organization Name | PRIME CARE-156 QUAKER ROAD |
| Practice Address |
156 Quaker Road Albany Associates In Cardiology Queensbury NY 12804-1718 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5184582000 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Albany Associates In Cardiology | Other Name - Individual/Organization |
| PRIME CARE-156 QUAKER ROAD | 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 |
| 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 |
| 1851636419 | St Peters Health Partners Medical Associates, PC | Radiology | 600 Northern Blvd, Albany, NY 12204-1004 | 2012-12-07 |
| Street Address |
156 QUAKER ROAD ALBANY ASSOCIATES IN CARDIOLOGY |
| City | QUEENSBURY |
| State | NY |
| Zip Code | 12804-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265060958 | Dani Grace Filicetti | Student in an Organized Health Care Education/Training Program | 423 Bay Rd, Queensbury, NY 12804 | 2020-03-30 |
| 1861977704 | Leslie Ann Warren | Counselor | 24 Cedarwood Drive, Queensbury, NY 12804 | 2018-09-26 |
| 1598294910 | Molly Gillespie | Speech-Language Pathologist | 9 Sylvan Ave, Queensbury, NY 12804 | 2017-06-08 |
| 1306207196 | Dorothy Duggan | Registered Nurse | 128 Aviation Road, Queensbury, NY 12804 | 2016-03-08 |
| 1568731115 | Kph Healthcare Services, Inc. | Pharmacy | 161 Carey Road, Queensbury, NY 12804 | 2011-12-27 |
| 1164701017 | Wal-mart Stores East Lp | Technician/Technologist | 24 Quaker Ridge Blvd, Queensbury, NY 12804 | 2011-08-10 |
| 1821275256 | Koock E Jung Md PC | Social Worker | 597 Bay Road, Queensbury, NY 12804 | 2008-01-29 |
| 1477765246 | Warren Washington Counties Chapter Nysarc Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 375 Bay Road, Suite 200, Queensbury, NY 12804 | 2007-05-04 |
| 1336299742 | Town of Queensbury Union Free School District 2 | Local Education Agency (LEA) | 429 Aviation Road, Queensbury, NY 12804 | 2007-01-11 |
| 1578658761 | Richard Jay Reisman | Dentist | 8 Baywood Drive, Glens Falls, NY 12804 | 2006-10-04 |
| Find all providers in zip 12804 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1689678120 | David W Schwenker | Internal Medicine | 6 St Andrews Dr, Queensbury, NY 12804-1356 | 2005-06-13 |
| 1477556181 | Patrick Rowley | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-05-27 |
| 1760730030 | Glens Falls Hospital Inc | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2012-08-17 |
| 1194744318 | Henry T Tan | Internal Medicine | 6 Hearts Way, Queensbury, NY 12804-5925 | 2006-07-19 |
| 1699793539 | Iqbal Bashir | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2006-07-18 |
| 1518958610 | Atilla Kayalar | Internal Medicine | 6 Hearts Way, Queensbury, NY 12804-5925 | 2005-10-30 |
| 1558353953 | Adirondack Cardiology Associates PC | Internal Medicine | 6 Hearts Way, Queensbury, NY 12804 | 2005-08-22 |
| 1982606984 | Gregory A. Kelly | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-08-10 |
| 1194728774 | Michael A Layden | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-05-27 |
| 1912900622 | Scott Munro | Internal Medicine | 6 Hearts Way, Adirondack Cardiology, Queensbury, NY 12804-5925 | 2005-05-27 |
| Find all providers in QUEENSBURY | ||||
| City | QUEENSBURY |
| Zip Code | 12804 |
Please comment or provide details below to improve the information on ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC.
| 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.