ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC (NPI# 1366787020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366787020 |
| Entity Type | Organization |
| Organization Name | ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC |
| Other Organization Name | PRIME CARE-279 TROY ROAD |
| Practice Address |
279 Troy Rd St. Peter's Medical Imaging Rensselaer NY 12144-9521 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5188806300 |
| Mailing Telephone | 5185251585 |
| Mailing Fax Number | 5185256199 |
| Enumeration Date | 2012-12-06 |
| 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, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| PRIME CARE-279 TROY ROAD | Other Name - Individual/Organization |
| SPHPMA Radiology Division | 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 |
| 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 |
| 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 |
| Street Address |
279 TROY RD ST. PETER'S MEDICAL IMAGING |
| City | RENSSELAER |
| State | NY |
| Zip Code | 12144-9521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021241 | Kristin Marie Cooke | Nurse Practitioner | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2005-05-23 |
| 1679184873 | Ali Sadrudin Khoja | Optometrist | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2020-08-11 |
| 1558745091 | Colleen Hickey | Physician Assistant | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2015-07-15 |
| 1386049385 | Mandy Beth Black | Nurse Practitioner | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2014-11-03 |
| 1154744753 | St. Peters Health Partners Medical Associates PC | Psychiatry & Neurology | 279 Troy Rd, Rensselaer, NY 12144-9518 | 2014-02-03 |
| 1407190044 | Samaritan Hospital of Troy, New York | Psychologist | 279 Troy Rd, Rensselaer, NY 12144-9756 | 2012-11-20 |
| 1700131604 | Prime Care Physicians, Pllc | Radiology | 279 Troy Rd, Route 4, Rensselaer, NY 12144-9499 | 2012-07-17 |
| 1649541152 | Community Care Physicians, PC | Obstetrics & Gynecology | 279 Troy Rd, Rensselaer County Plaza, Rensselaer, NY 12144-9499 | 2012-01-16 |
| 1740593094 | Gaetano Matthew Cristalli | Family Medicine | 279 Troy Rd, Family Medical Group, Rensselaer, NY 12144-9518 | 2010-07-15 |
| 1346476967 | Anne Barbara Houacine | Technician/Technologist | 279 Troy Rd, Rensselaer, NY 12144-9499 | 2009-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053955567 | Sherisa Moore | Registered Nurse | 17 River Chase Drive, B, Rensselaer, NY 12144 | 2019-10-29 |
| 1811553738 | Joel C Campbell | Licensed Practical Nurse | 419 Northgreenbush Road, Rensselaer, NY 12144 | 2019-05-16 |
| 1063956688 | Ashley F Bertorelli | Physical Therapist | 476 N Greenbush Rd Ste 3, Rensselaer, NY 12144 | 2016-12-16 |
| 1184066060 | Stefanie L Walsh | Physical Therapist | 2 Empire Dr Ste 202, Rensselaer, NY 12144 | 2013-07-22 |
| 1821347550 | C & L Transport Inc. | Non-emergency Medical Transport (VAN) | 27 Columbia Street, Rensselaer, NY 12144 | 2012-09-10 |
| 1639448376 | Harry William Letko | Licensed Practical Nurse | 456b North Greenbush Rd, Rensselaer, NY 12144 | 2011-12-27 |
| 1285901827 | Tammy Ellen Barbour | Registered Nurse | 25 Vanrensselaer Dr., Rensselaer Academy, Rensselaer, NY 12144 | 2011-11-28 |
| 1144474693 | Peter Patrick Martin | Occupational Therapist | 24 Oak Street, Rensselaer, NY 12144 | 2008-11-11 |
| 1487820064 | Kathleen Powell | Pharmacist | 501 Columbia Turnpike, Price Chopper, Rensselaer, NY 12144 | 2008-05-05 |
| 1609065788 | Stefan J Fosco | Audiologist | 2 Empire Dr Ste 204, Rensselaer, NY 12144 | 2007-10-15 |
| Find all providers in zip 12144 | ||||
| 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 |
|---|---|---|---|---|
| 1396707097 | Ramesh S Gaud | Radiology | 770 W Winding Rd, Rensselaer, IN 47978-7284 | 2006-04-06 |
| 1750778726 | St. Peters Health Partners Medical Associates PC | Radiology | 2 Empire Dr, Rensselaer, NY 12144-5730 | 2015-04-17 |
| 1174700520 | Ramesh S Gaud Md PC | Radiology | 770 W Winding Rd, Rensselaer, IN 47978-7284 | 2008-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960690 | New York Medical Diagnostic Imaging PC | Radiology | 13617 39th Ave Ste 1d, Flushing, NY 11354-5504 | 2020-10-20 |
| 1700490034 | Hudson Valley Radiologists, PC | Radiology | 33 Bridgewater Way, Poughkeepsie, NY 12601-5961 | 2020-09-03 |
| 1730702986 | Hudson Valley Radiologists, PC | Radiology | 17 Argent Dr, Poughkeepsie, NY 12603-6040 | 2020-05-22 |
| 1114540366 | Hudson Valley Radiologists, PC | Radiology | 12 Caliguiri Ct, Lagrangeville, NY 12540-4912 | 2020-05-22 |
| 1831712082 | Hudson Valley Radiologists, PC | Radiology | 23 Sommerset Rd, Poughkeepsie, NY 12603 | 2020-05-22 |
| 1124641378 | Hudson Valley Radiologists, PC | Radiology | 49 Evergreen Ave, Poughkeepsie, NY 12601-5206 | 2020-05-22 |
| 1023631272 | Hudson Valley Radiologists, PC | Radiology | 3 Riding Ridge Trl, Beacon, NY 12508-7023 | 2020-05-22 |
| 1740803998 | Hudson Valley Radiologists, PC | Radiology | 36 Pine St Apt 229, Poughkeepsie, NY 12601-3974 | 2020-05-22 |
| 1215550462 | Hudson Valley Radiologists, PC | Radiology | 50 Leonard St Unit 106, Beacon, NY 12508-3455 | 2020-05-22 |
| 1285257519 | Hudson Valley Radiologists, PC | Radiology | 14 Hilee Rd, Rhinebeck, NY 12572-2347 | 2020-05-21 |
| Find all providers with the same taxonomy | ||||
| City | RENSSELAER |
| Zip Code | 12144 |
Please comment or provide details below to improve the information on ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC.
| 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.