MEMORIAL HOSPITAL, ALBANY, N.Y. (NPI# 1801837539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801837539 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL, ALBANY, N.Y. |
| Practice Address |
600 Northern Blvd Albany NY 12204-1004 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5184713221 |
| Practice Fax Number | 5184713254 |
| Enumeration Date | 2006-06-10 |
| 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 | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 282N00000X | General Acute Care Hospital | 0101003H | NY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00364003 | 05 |
| 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 |
| 1568650265 | Memorial Hospital, Albany, N.y. | Clinic/Center | 279 Troy Rd, Rensselaer, NY 12144-9499 | 2007-10-09 |
| Street Address |
600 NORTHERN BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12204-1004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717038 | Brooke Anna Coticchio | Physician Assistant | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-08-28 |
| 1528628187 | Joni Ann Goldberg | Speech-Language Pathologist | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-06-17 |
| 1326506122 | Alexis Erin Michele Lane | Nurse Practitioner | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-03-11 |
| 1093288300 | Giuseppe Ragonese | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2019-01-09 |
| 1225500416 | Misty Ash Jones | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2018-12-28 |
| 1235601428 | Deborah D'amico | Physical Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2018-12-28 |
| 1679089973 | Jessica Elizabeth Breda | Occupational Therapist | 600 Northern Blvd, Albany, NY 12204 | 2017-12-21 |
| 1568985521 | Jordyn Diane Thiem | Physician Assistant | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-07-21 |
| 1144743436 | Lisa Marie Slade | Occupational Therapist | 600 Northern Blvd, Albany, NY 12204-1004 | 2017-07-19 |
| 1659891208 | Laura Segal | Physical Therapist | 600 Northern Blvd, Albany, NY 12204 | 2017-06-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568015352 | Chanel Bovian | Licensed Practical Nurse | 587 Broadway Apt.a2, Menands, NY 12204 | 2019-07-20 |
| 1659853513 | David Jonathan Brown | Driver | 456 North Pearl St., Albany, NY 12204 | 2018-09-06 |
| 1255686481 | Adam Michael Burman | Pharmacist | 350 Northern Boulevard, Albany, NY 12204 | 2012-07-13 |
| 1043579196 | Victoria Epstein | Ophthalmology | 63 Shaker Rd Ste 101, Albany, NY 12204 | 2012-05-10 |
| 1306117270 | Jacqueline J Swenson | Physical Therapist | Albany Memorial Hospital, 600 Northern Blvd, Albany, NY 12204 | 2012-01-24 |
| 1730466681 | Kathleen C Dalcol | Registered Nurse | 570 North Pearl Street, North Albany Academy, Albany, NY 12204 | 2011-11-07 |
| 1649592049 | Shirley L Savage | Licensed Practical Nurse | 150 Broadway Ave., Suite 310, Menands, NY 12204 | 2010-02-26 |
| 1801084645 | The Embryology Network | Clinical Medical Laboratory | 600 Northern Blvd., Albany Memorial Hospital, Albany, NY 12204 | 2007-10-05 |
| 1124248430 | Prime Care Physicians, P.l.l.c. | Internal Medicine | 63 Albany Shaker Road, Suite 102, Albany, NY 12204 | 2007-04-27 |
| 1578788204 | Antoinette June Holman | Licensed Practical Nurse | Riverview Center 150 Broadway, Suite 6e, Albany, NY 12204 | 2007-04-16 |
| Find all providers in zip 12204 | ||||
| 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 |
|---|---|---|---|---|
| 1770981938 | Cape Coral Emergency Physicians LLC | General Acute Care Hospital | 85b Weis Rd, Albany, NY 12208-1955 | 2014-12-19 |
| 1164785143 | Saint Mary's Hospital | General Acute Care Hospital | 532 Warren St, Apt 2r, Albany, NY 12208-3291 | 2012-06-24 |
| 1417967183 | Thomas K Wu | General Acute Care Hospital | 113 Hollland Vae., Albany, NY 12208 | 2006-08-08 |
| 1992789721 | Phoebe Putney Memorial Hospital Inc | General Acute Care Hospital | 417 West Third Avenue, Albany, GA 31701-1943 | 2005-12-05 |
| 1114469103 | Samaritan Health Services | General Acute Care Hospital | 620 Elm St Sw # 2, Albany, OR 97321-1986 | 2016-11-08 |
| 1740641588 | Ryan Youngs | General Acute Care Hospital | 50 New Scotland Ave, Albany, NY 12208-3403 | 2016-03-07 |
| 1326469008 | St Peters Health Partners | General Acute Care Hospital | 64 2nd Ave, Albany, NY 12202-1240 | 2013-12-23 |
| 1487089132 | Phoebe Putney Memorial Hospital | General Acute Care Hospital | 417 W 3rd Ave, Albany, GA 31701-1943 | 2013-09-12 |
| 1043514557 | Hospital Authority of Albany-dougherty County Georgia | General Acute Care Hospital | 2000 Palmyra Rd, Albany, GA 31701-1528 | 2010-12-28 |
| 1447433081 | John David Morgan | General Acute Care Hospital | 315 S Manning Blvd, Albany, NY 12208-1707 | 2007-12-05 |
| 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.