ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC (NPI# 1164767828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164767828 |
| Entity Type | Organization |
| Organization Name | ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Other Organization Name | ST. PETER'S INTERNAL MEDICINE |
| Practice Address |
4 Palisades Drive Suite 100 Albany NY 12205-1443 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5184469545 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2019-12-16 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST PETERS PARTNERS MEDICAL ASSOCIATES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PRIME CARE-4 PALISADES-SUITE 100 | Other Name - Individual/Organization |
| St. Peter's Internal Medicine | Doing Business As Name - 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 |
| 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 |
| 1861733701 | St Peters Health Partners Medical Associates, PC | Radiology | 45 Pine Grove Ave, Kingston, NY 12401-5407 | 2013-03-01 |
| 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 |
4 PALISADES DRIVE SUITE 100 |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1659931848 | Hala Elfaki | Internal Medicine | 10 Callaway Circle, Loudonville, Albany, NY 12211-1221 | 2019-06-19 |
| 1447720271 | Paul E Lemanski Md Pllc | Internal Medicine | 2 Executive Park Dr Ste 1, Albany, NY 12203-3700 | 2018-12-05 |
| 1528595147 | Asha Pandu | Internal Medicine | 178 Washington Avenue Ext # Mc-58, Albany, NY 12203-5304 | 2017-05-13 |
| 1720531080 | Hania Shahid | Internal Medicine | 47 New Scotland Avenue, Dept of Internal Medicine, Albany, NY 12208-3412 | 2016-08-03 |
| 1376995431 | Asad Ullah | Internal Medicine | 47 New Scotland Ave # Mc-17, Albany, NY 12208-3412 | 2016-07-12 |
| 1831552397 | Mukund Madhaw Das | Internal Medicine | St. Peter's Hospital of The City of Albany, Hospitalist Department 315 So Manning Blvd, Albany, NY 12208 | 2016-04-01 |
| 1295128619 | Erik Rueckert | Internal Medicine | 400 Hickory St Nw # 300, Albany, OR 97321-1700 | 2015-03-10 |
| 1003207978 | Emmanuelle Cordero Torres | Internal Medicine | 47 New Scotland Ave Dept of Nephrology, Albany Medical Center, Albany, NY 12208 | 2015-02-12 |
| 1376944348 | Ravi Vuthoori | Internal Medicine | 43 New Scotland Ave # Mc-50, Albany, NY 12208-3412 | 2014-09-10 |
| 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.