SAMARITAN HOSPITAL OF TROY, NEW YORK (NPI# 1407190044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407190044 |
| Entity Type | Organization |
| Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Other Organization Name | CAPITAL REGION DIABETES & ENDOCRINE CARE |
| Practice Address |
279 Troy Rd Rensselaer NY 12144-9756 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5182861922 |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | COURTNEY KNOWLES (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 5185255634 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 282N00000X | General Acute Care Hospital | 4102002H | NY | Hospitals |
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Capital Region Diabetes & Endocrine Care | Doing Business As Name - Organization |
| CRDEC & TUA | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 279 Troy Road, Rensselaer, NY 121449756 | 5182721333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912551425 | Samaritan Hospital of Troy, New York | Nurse Practitioner | 1440 Western Avenue, Capital District Internal Medicine, Albany, NY 12203 | 2019-08-01 |
| 1780168740 | Samaritan Hospital of Troy, New York | Family Medicine | 2 Empire Drive, Suite 100, Rensselaer, NY 12144-5730 | 2018-09-17 |
| 1770067738 | Samaritan Hospital of Troy, New York | Clinic/Center | 147 Hoosick St Ste E, Troy, NY 12180-2393 | 2018-09-17 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1912480971 | Samaritan Hospital of Troy, New York | Family Medicine | 1111 Hudson Avenue, Stillwater, NY 12170-3439 | 2018-09-14 |
| 1790120368 | Samaritan Hospital of Troy, New York | Nutritionist | 158 Saratoga Avenue, Waterford, NY 12188-2205 | 2013-05-08 |
| 1265086789 | Samaritan Hospital of Troy, New York | Family Medicine | 63 Shaker Road, Suite G02, Albany, NY 12204 | 2019-08-01 |
| 1457812877 | Samaritan Hospital of Troy, New York | Emergency Medicine | 1 Tallow Wood Drive, St. Peter's Family Medicine, Clifton Park, NY 12065 | 2019-03-28 |
| 1134603194 | Samaritan Hospital of Troy, New York | Internal Medicine | 1401 Massachusetts Avenue, Troy, NY 12180-1621 | 2018-09-17 |
| 1124502182 | Samaritan Hospital of Troy, New York | Midwife | 2 Empire Drive, Suite 101, Rensselaer, NY 12144-5730 | 2018-09-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SAMARITAN HOSPITAL OF TROY, NEW YORK | 2215 Burdett Ave, Troy, NY 12180-2466 |
| Street Address |
279 TROY RD |
| City | RENSSELAER |
| State | NY |
| Zip Code | 12144-9756 |
| 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 |
| 1366787020 | St Peters Health Partners Medical Associates, PC | Radiology | 279 Troy Rd, St. Peter's Medical Imaging, Rensselaer, NY 12144-9521 | 2012-12-06 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316209299 | Orthopedicsny, LLP | Orthopaedic Surgery | 2 Empire Dr, Suite 200, Rensselaer, NY 12144 | 2012-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992330807 | Ny Orthopedics PC | Orthopaedic Surgery | 110 Duane Street, New York, NY 10007 | 2020-03-11 |
| 1770117483 | The Central Orthopedic Group L L P | Orthopaedic Surgery | 5840 Merrick Rd, Massapequa, NY 11758-6225 | 2020-03-03 |
| 1669006375 | The Central Orthopedic Group L L P | Orthopaedic Surgery | 77 N Centre Ave Ste 210, Rockville Centre, NY 11570-3923 | 2020-03-03 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1649801440 | Richard Allan Stram | Orthopaedic Surgery | 508 Murray Hill Rd, Vestal, NY 13850-3824 | 2020-01-30 |
| 1316594237 | Motaz Abdulrahman Alaqeel | Orthopaedic Surgery | 504 E 63rd St Apt 6s, New York, NY 10065-7912 | 2019-08-26 |
| 1568017317 | Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 693 White Plains Rd, Eastchester, NY 10709 | 2019-08-08 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| 1528627866 | New York Orthopedic Hip & Knee Associates LLP | Orthopaedic Surgery | 25 Apawamis Ave, Rye, NY 10580-3528 | 2019-06-11 |
| 1396207528 | Ony Care of Ny II, LLC | Orthopaedic Surgery | 1131 Route 55 Ste 1b, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| Find all providers with the same taxonomy | ||||
| City | RENSSELAER |
| Zip Code | 12144 |
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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.