ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC (NPI# 1639504699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639504699 |
| Entity Type | Organization |
| Organization Name | ST. PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC |
| Other Organization Name | HOME VISITING PRIMARY CARE |
| Practice Address |
433 River Street Suite 3000 Troy NY 12180 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5182795700 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2019-12-12 |
| 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 | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Home Visiting Primary Care | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 315 S Manning Blvd, Albany, NY 122081707 | 5185251550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811328966 | St. Peters Health Partners Medical Associates PC | Emergency Medicine | 11 Hempstead Place, Suite 103, Saratoga Springs, NY 12866 | 2013-11-27 |
| 1770970675 | St. Peters Health Partners Medical Associates PC | Physician Assistant | 2 Empire Dr, East Greenbush Ultrasound, Rensselaer, NY 12144-5730 | 2015-04-20 |
| 1831586809 | St. Peters Health Partners Medical Associates PC | Radiology | 713 Troy Schenectady Rd, Suite 304, Latham, NY 12110-2490 | 2015-04-17 |
| 1750778726 | St. Peters Health Partners Medical Associates PC | Radiology | 2 Empire Dr, Rensselaer, NY 12144-5730 | 2015-04-17 |
| 1205223294 | St. Peters Health Partners Medical Associates PC | Radiology | 147 Hoosick Street, Troy, NY 12180-2353 | 2015-04-17 |
| 1245628361 | St. Peters Health Partners Medical Associates PC | Surgery | 319 S Manning Blvd, Suite 304, Albany, NY 12208-1742 | 2014-12-23 |
| 1417362963 | St. Peters Health Partners Medical Associates PC | Family Medicine | 854 Route 212, Saugerties, NY 12477-4619 | 2014-06-24 |
| 1154744753 | St. Peters Health Partners Medical Associates PC | Psychiatry & Neurology | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2014-02-03 |
| 1174954606 | St. Peters Health Partners Medical Associates PC | Nurse Practitioner | 319 South Manning Blvd, Suite C364, Albany, NY 12208-1742 | 2013-12-10 |
| 1104257252 | St. Peters Health Partners Medical Associates PC | Family Medicine | 10 Gagnon Dr, Stone Ridge, NY 12484-5120 | 2013-11-27 |
| Street Address |
433 RIVER STREET SUITE 3000 |
| City | TROY |
| State | NY |
| Zip Code | 12180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575172 | Audrey Kate Ordway | Registered Nurse | 433 River Street Suite 3000, Home Visiting Primary Care, Troy, NY 12180-2550 | 2020-10-15 |
| 1245849074 | Alexandra Marie Meehan | Nurse Practitioner | 433 River Street Suite 3000, Home Visiting Continuing Care, Troy, NY 12180-2550 | 2020-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528616232 | Gwendolyn Eve Guarino | Massage Therapist | Lux, 207 River St, Troy, NY 12180 | 2019-08-27 |
| 1568020857 | Shelby Mara Quintal | Counselor | 7 Collins Ave, Troy, NY 12180 | 2019-05-31 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1104354315 | Karen Lynm Vincent | Licensed Practical Nurse | 830 Hoosick Rd Apt 1, Troy, NY 12180 | 2017-06-01 |
| 1740728013 | Upstate Physician Services, PC | Specialist | 2001 5th Avenue, Suite 110, Troy, NY 12180 | 2017-02-07 |
| 1205373263 | Tsu Han Poh | Pharmacist | 204 Washington Street, Apt C1, Troy, NY 12180 | 2017-01-27 |
| 1053760546 | Linda Pierre | Religious Nonmedical Nursing Personnel | 1680 Tibbits Ave, Troy, NY 12180 | 2016-06-06 |
| 1518312925 | Matthew Pittelli | Student in an Organized Health Care Education/Training Program | 83 Lockrow Rd, Troy, NY 12180 | 2016-05-04 |
| 1780045765 | Tara Michelle Miller | Hearing Instrument Specialist | 2000 6th Avenue, Troy Towers, Bldg. B, 1st Floor, Troy, NY 12180 | 2016-03-17 |
| 1326410937 | Seton Health System, Inc. | Physician Assistant | 1401 Massachusetts Avenue, Troy Internal Medicine, Troy, NY 12180 | 2015-10-22 |
| Find all providers in zip 12180 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190809 | Hospice of Jefferson County, Inc. | Internal Medicine | 531 Washington St Ste 1100, Watertown, NY 13601-4037 | 2019-12-04 |
| 1841648011 | Infinity Medical Group P.C. | Internal Medicine | 275 Northpointe Pkwy, Suite 50, Amherst, NY 14228-1895 | 2016-05-29 |
| 1285044800 | Lawrence Asprec | Internal Medicine | 525 E 68th St # 14, New York, NY 10065-4870 | 2014-05-05 |
| 1588082960 | Anup Suresh Bharani | Internal Medicine | 1468 Madison Ave Bldg 10th, New York, NY 10029-6508 | 2014-04-02 |
| 1740613603 | Vanessa Silvana Lewis Ramos | Internal Medicine | 3347 Steuben Ave Fl 2, Bronx, NY 10467-2805 | 2013-08-14 |
| 1871883405 | Eugene Choi | Internal Medicine | 350 E 17th St Fl 12, New York, NY 10003-3805 | 2011-04-16 |
| 1902035215 | Lourdes Gricel Merlo | Internal Medicine | 65-45 Saunders Street, 6f, Rego Park, NY 11374 | 2009-07-08 |
| 1033319314 | Sarita Patel | Internal Medicine | 171 Lawrence Ave, Eastchester, NY 10709-5417 | 2007-07-24 |
| 1871704379 | Clement Stephen Connolly | Internal Medicine | 89 Horton St, Bronx, NY 10464-1618 | 2007-05-25 |
| 1639391972 | Premier Internal Medicine, Pllc | Internal Medicine | 850 Fulton Street, Farmingdale, NY 11735 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
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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.