MEMORIAL HOSPITAL, ALBANY, N.Y. (NPI# 1568650265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568650265 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL, ALBANY, N.Y. |
| Other Organization Name | NORTHEAST HEALTH IMAGING |
| Practice Address |
279 Troy Rd Rensselaer NY 12144-9499 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5188806300 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | LORI SANTOS (CFO) |
| Authorized Official Telephone | 5185255537 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HOSPITAL, ALBANY, N.Y. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | 0101003H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00364003 | 05 |
| Other Name | Type Code |
|---|---|
| Northeast Health Imaging | Other Name - Individual/Organization |
| St. Peter's Medical Imaging | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184161739 | Memorial Hospital, Albany, N.y. | Clinic/Center | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-01-20 |
| 1114274826 | Memorial Hospital, Albany, N.y. | Family Medicine | 63 Shaker Rd Ste G02, Albany, NY 12204-1030 | 2012-08-13 |
| 1487901351 | Memorial Hospital, Albany, N.y. | Family Medicine | 1440 Western Ave, Albany, NY 12203-3421 | 2012-08-10 |
| 1801837539 | Memorial Hospital, Albany, N.y. | Clinic/Center | 600 Northern Blvd, Albany, NY 12204-1004 | 2006-06-10 |
| Street Address |
279 TROY RD |
| City | RENSSELAER |
| State | NY |
| Zip Code | 12144-9499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021241 | Kristin Marie Cooke | Nurse Practitioner | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2005-05-23 |
| 1679184873 | Ali Sadrudin Khoja | Optometrist | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2020-08-11 |
| 1558745091 | Colleen Hickey | Physician Assistant | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2015-07-15 |
| 1386049385 | Mandy Beth Black | Nurse Practitioner | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2014-11-03 |
| 1154744753 | St. Peters Health Partners Medical Associates PC | Psychiatry & Neurology | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2014-02-03 |
| 1366787020 | St Peters Health Partners Medical Associates, PC | Radiology | 279 Troy Rd, St. Peter's Medical Imaging, Rensselaer, NY 12144-9521 | 2012-12-06 |
| 1407190044 | Samaritan Hospital of Troy, New York | Psychologist | 279 Troy Rd, Rensselaer, NY 12144-9756 | 2012-11-20 |
| 1700131604 | Prime Care Physicians, Pllc | Radiology | 279 Troy Rd, Route 4, Rensselaer, NY 12144-9499 | 2012-07-17 |
| 1649541152 | Community Care Physicians, PC | Obstetrics & Gynecology | 279 Troy Rd, Rensselaer County Plaza, Rensselaer, NY 12144-9499 | 2012-01-16 |
| 1740593094 | Gaetano Matthew Cristalli | Family Medicine | 279 Troy Rd, Family Medical Group, Rensselaer, NY 12144-9518 | 2010-07-15 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922443852 | Sharon Lee Wheeler | General Acute Care Hospital | 17 Holland Dr, Rensselaer, NY 12144-9724 | 2013-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
| City | RENSSELAER |
| Zip Code | 12144 |
Please comment or provide details below to improve the information on MEMORIAL HOSPITAL, ALBANY, N.Y..
| 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.