ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC (NPI# 1861733701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861733701 |
| Entity Type | Organization |
| Organization Name | ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Other Organization Name | RIVER RADIOLOGY |
| Practice Address |
45 Pine Grove Ave Kingston NY 12401-5407 |
| Mailing Address |
315 S Manning Blvd Albany NY 12208-1707 |
| Practice Telephone | 8453404500 |
| Practice Fax Number | 8453404501 |
| Mailing Telephone | 5185251585 |
| Mailing Fax Number | 5185256199 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2014-01-21 |
| Authorized Official Name | PAUL GORDON (DIR. FIN/ADMIN PHYS. ENTERPRISE) |
| Authorized Official Telephone | 5185251585 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| RIVER RADIOLOGY | 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 |
| 1497090146 | St Peters Health Partners Medical Associates, PC | Internal Medicine | 156 Quaker Road, Albany Associates In Cardiology, Queensbury, NY 12804-1718 | 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 |
| 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 |
45 PINE GROVE AVE |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-5407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154384766 | Steven Daniel Schwartz | Radiology | 45 Pine Grove Ave, Kingston, NY 12401 | 2006-04-07 |
| 1821225368 | Timothy Madden | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2009-06-11 |
| 1851599633 | James Michael Canoy | Radiology | 45 Pine Grove Ave, Kingston, NY 12401 | 2007-07-03 |
| 1063625291 | James Hyun Chul Lim | Radiology | 45 Pine Grove Ave, Kingston, NY 12401 | 2007-05-07 |
| 1255475133 | Jaime L Parent | Radiology | 45 Pine Grove Ave, Kingston, NY 12401 | 2007-02-16 |
| 1336170612 | David J Hall | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2006-07-05 |
| 1437180619 | Thomas A Koshy | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2006-07-05 |
| 1902837198 | Bruce B Moor | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2006-07-05 |
| 1891739959 | Jonathan Michael Ahmadjian | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2006-06-16 |
| 1891739983 | Susan Kay Connors | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487609483 | Vision Imaging of Kingston LLC | Radiology | 517 Pierce Street, Kingston, PA 18704-5756 | 2006-05-24 |
| 1154384766 | Steven Daniel Schwartz | Radiology | 45 Pine Grove Ave, Kingston, NY 12401 | 2006-04-07 |
| 1558906610 | Health Quest Medical Practice, PC | Radiology | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1821225368 | Timothy Madden | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2009-06-11 |
| 1255475133 | Jaime L Parent | Radiology | 45 Pine Grove Ave, Kingston, NY 12401 | 2007-02-16 |
| 1114952066 | Gi Suk Song | Radiology | 105 Marys Ave, Kingston, NY 12401 | 2006-07-11 |
| 1336170612 | David J Hall | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2006-07-05 |
| 1437180619 | Thomas A Koshy | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2006-07-05 |
| 1740211374 | Orin A Rossett | Radiology | 105 Marys Ave, Kingston, NY 12401-5848 | 2006-07-05 |
| 1902837198 | Bruce B Moor | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2006-07-05 |
| Find all providers in KINGSTON | ||||
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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.