ST. PETER'S HOSPITALOF THE CITY OF ALBANY (NPI# 1629470919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629470919 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HOSPITALOF THE CITY OF ALBANY |
| Other Organization Name | SPH DENTAL GROUP PRACTICE |
| Practice Address |
1092 Madison Avenue Albany NY 12208-2248 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5185251757 |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST.PETERS HOSPITAL DENTAL GROUP PRACTICE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| SPH Dental Group Practice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 53 Columbia Street, Rensselaer, NY 121442933 | 5184639809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396963872 | St. Peter's Hospitalof The City of Albany | Nurse Practitioner | 845 Central Avenue, Suite 107, Albany, NY 12206-1515 | 2007-04-23 |
| 1386862860 | St. Peter's Hospitalof The City of Albany | Nurse Practitioner | 2925 Hamburg Street, Schenectady, NY 12303-4349 | 2007-04-23 |
| 1386715621 | St. Peter's Hospitalof The City of Albany | Midwife | 326 South Pearl Street, Albany, NY 12202-1914 | 2006-11-10 |
| 1598138208 | St. Peter's Hospitalof The City of Albany | Orthopaedic Surgery | 1182 Troy Schenectady Road, Suite 100, Latham, NY 12110-1000 | 2015-11-03 |
| 1376761858 | St. Peter's Hospitalof The City of Albany | Family Medicine | 55 Mohawk Street, Suite 100, Cohoes, NY 12047-2600 | 2007-04-23 |
| 1003981432 | St. Peter's Hospitalof The City of Albany | Counselor | 315 South Manning Blvd, Suite 6512, Albany, NY 12208-1707 | 2006-11-21 |
| Street Address |
1092 MADISON AVENUE |
| City | ALBANY |
| State | NY |
| Zip Code | 12208-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679947212 | St. Peter's Hospital | Psychologist | 1092 Madison Avenue, Albany, NY 12208-2248 | 2015-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265054175 | Members Plus Dental, LLC | Dentist | 2220 9th Ave Se Ste B, Albany, OR 97322-5000 | 2020-05-13 |
| 1528590064 | Priscila Lee | Dentist | 727 San Pablo Ave, Albany, CA 94706 | 2017-04-03 |
| 1447628516 | Ashley Chan | Dentist | 545 Pierce St Apt 1109, Albany, CA 94706-1048 | 2015-09-08 |
| 1174918031 | Ru-mee Han | Dentist | 12 California Ave, Apt. B510, Albany, NY 12205-2850 | 2015-03-30 |
| 1437563475 | Michael James Cox | Dentist | 602 Pointe North Blvd, Albany, GA 31721-1513 | 2014-06-18 |
| 1447693064 | Ross Henry Thomas IIi | Dentist | 473 Kingswood Ct, Albany, GA 31707-3062 | 2013-04-12 |
| 1154663573 | Robert Michael Deitz | Dentist | 272 New Scotland Ave, Albany, NY 12208-3116 | 2013-03-24 |
| 1952655581 | Mh Orthodontics | Dentist | 1030 W Gordon Ave Ste A, Albany, GA 31701-4515 | 2012-11-05 |
| 1902152861 | John Frank Rymanowski | Dentist | 3 Birch Hill Rd, Albany, NY 12211-2003 | 2012-07-30 |
| 1134496219 | Randell Paul Mayer | Dentist | 29906 S Montpelier Rd, Albany, LA 70711-3606 | 2011-11-17 |
| Find all providers in ALBANY | ||||
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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.