ST. PETER'S HOSPITALOF THE CITY OF ALBANY (NPI# 1386862860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386862860 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HOSPITALOF THE CITY OF ALBANY |
| Other Organization Name | ST. PETER'S ADDICTION RECOVERY CENTER |
| Practice Address |
2925 Hamburg Street Schenectady NY 12303-4349 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5183572909 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2019-12-30 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 282N00000X | General Acute Care Hospital | 0101004H | NY | Hospitals |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
0101004H | NY | Ambulatory Health Care Facilities |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| SPARC | Other Name - Individual/Organization |
| St. Peter's Addiction Recovery Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629470919 | St. Peter's Hospitalof The City of Albany | Dentist | 1092 Madison Avenue, Albany, NY 12208-2248 | 2014-09-18 |
| 1396963872 | St. Peter's Hospitalof The City of Albany | Nurse Practitioner | 845 Central Avenue, Suite 107, Albany, NY 12206-1515 | 2007-04-23 |
| 1386715621 | St. Peter's Hospitalof The City of Albany | Midwife | 326 South Pearl Street, Albany, NY 12202-1914 | 2006-11-10 |
| 1598138208 | St. Peter's Hospitalof The City of Albany | Orthopaedic Surgery | 1182 Troy Schenectady Road, Suite 100, Latham, NY 12110-1000 | 2015-11-03 |
| 1376761858 | St. Peter's Hospitalof The City of Albany | Family Medicine | 55 Mohawk Street, Suite 100, Cohoes, NY 12047-2600 | 2007-04-23 |
| 1003981432 | St. Peter's Hospitalof The City of Albany | Counselor | 315 South Manning Blvd, Suite 6512, Albany, NY 12208-1707 | 2006-11-21 |
| Street Address |
2925 HAMBURG STREET |
| City | SCHENECTADY |
| State | NY |
| Zip Code | 12303-4349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356991608 | Eunice Matias | Technician | 7036 Suzanne Lane, Schenectady, NY 12303 | 2019-09-18 |
| 1497280176 | Krystal Varrenti | Registered Nurse | 3437 Carman Road, Pine Bush Elementary School, Schenectady, NY 12303 | 2017-05-01 |
| 1801291943 | Michelle Anne Durling | Registered Nurse | 2057 Rensselare Ave, Schenectady, NY 12303 | 2014-10-31 |
| 1447691068 | Dametress Maryland Haughton | Licensed Practical Nurse | 2303 2nd Avenue, Rotterdam, NY 12303 | 2013-07-11 |
| 1669721841 | Michelle L Hall, Od, Pllc | Optometrist | 3770 Carman Road, #6b, Schenectady, NY 12303 | 2012-09-05 |
| 1851640403 | Christina Marie Pustay | Specialist | 3437 Carman Rd., Schenectady, NY 12303 | 2012-08-29 |
| 1598048332 | Alicia Backus | Social Worker | 108 Education Drive, Schenectady, NY 12303 | 2011-09-27 |
| 1922321611 | Leanne C Williams | Pharmacist | 1630 Chrisler Avenue, Schenectady, NY 12303 | 2010-03-09 |
| 1942487814 | William J Dawson | Pharmacist | 1350 Altamont Ave, Schenectady, NY 12303 | 2008-01-23 |
| 1598958845 | Alan Beck | Pharmacist | 1400 Altamount Ave, Schenectady, NY 12303 | 2007-08-21 |
| Find all providers in zip 12303 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669944146 | Margaret Peggy Lucas | Nurse Practitioner | 500 Balltown Rd Bldg 12d, Schenectady, NY 12304-2247 | 2018-12-21 |
| 1699061101 | Bella Dizon Rillo | Nurse Practitioner | 9001 Jennifer Ct, Schenectady, NY 12303-5074 | 2011-06-22 |
| 1770197329 | Justin James Alvis | Nurse Practitioner | 128 Birchwood Dr, Schenectady, NY 12303-5626 | 2020-09-01 |
| 1043828890 | Flor De Maria Arnold | Nurse Practitioner | 600 Mcclellan St, Schenectady, NY 12304-1009 | 2020-07-17 |
| 1962032862 | Karen Carlotta Chonou | Nurse Practitioner | 504 State St, Schenectady, NY 12305-2414 | 2020-01-20 |
| 1154805752 | Kaitlynn A. Iadeluca | Nurse Practitioner | 1101 Nott St, Schenectady, NY 12308-2425 | 2018-09-19 |
| 1700387685 | Anna F Brady | Nurse Practitioner | 108 Education Dr, Schenectady, NY 12303-1238 | 2018-02-26 |
| 1073037040 | Carrie Marie Glans | Nurse Practitioner | 1311 Union Street, Schenectady, NY 12308 | 2017-08-01 |
| 1073034989 | Alexandra Olsiewski | Nurse Practitioner | 1101 Nott St, Schenectady, NY 12308-2425 | 2017-06-30 |
| 1356784862 | Stacia A Downey | Nurse Practitioner | 624 Mcclellan St, Schenectady, NY 12304-1020 | 2013-04-15 |
| Find all providers in SCHENECTADY | ||||
| City | SCHENECTADY |
| Zip Code | 12303 |
Please comment or provide details below to improve the information on ST. PETER'S HOSPITALOF THE CITY OF ALBANY.
| 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.