DR. VINCENT J. CARSILLO II (NPI# 1467444208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467444208 |
| Entity Type | Individual |
| Full Name | DR. VINCENT J. CARSILLO II |
| Credential | D.O. |
| Practice Address |
62 Hackett Blvd Albany NY 12209 |
| Mailing Address |
62 Hackett Blvd Albany NY 12209-1718 |
| Practice Telephone | 5184342244 |
| Practice Fax Number | 5184344659 |
| Mailing Telephone | 5184342244 |
| Mailing Fax Number | 5184344659 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2018-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
232172-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02551173 | 05 |
| Street Address |
62 HACKETT BLVD |
| City | ALBANY |
| State | NY |
| Zip Code | 12209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922000611 | James Fletcher Horn | Internal Medicine | 62 Hackett Blvd, Albany, NY 12209-1718 | 2005-08-11 |
| 1235752726 | Dayna Davi | Nurse Practitioner | 62 Hackett Blvd, Albany, NY 12209-1756 | 2020-05-19 |
| 1902188980 | Amber L Lange | Nurse Practitioner | 62 Hackett Blvd, Suite 2, Albany, NY 12209-1756 | 2011-09-15 |
| 1699060368 | Frank B. Cortazar | Internal Medicine | 62 Hackett Blvd, Albany, NY 12209-1756 | 2011-06-10 |
| 1326228933 | Mary K Noonan | Dietitian, Registered | 62 Hackett Blvd, Albany, NY 12209-1718 | 2007-11-12 |
| 1528181161 | Radhika Reddy Chappidi | Dietitian, Registered | 62 Hackett Blvd, Albany, NY 12209-1718 | 2007-04-09 |
| 1508956400 | Michael Haden Gallichio | Transplant Surgery | 62 Hackett Blvd, Albany, NY 12209-1756 | 2006-10-13 |
| 1801983788 | Lee and Burack Ob/gyn, P.C. | Obstetrics & Gynecology | 62 Hackett Blvd, Albany, NY 12209-1718 | 2006-10-10 |
| 1275641748 | Jeffery H Fox | Psychologist | 62 Hackett Blvd, Albany, NY 12209 | 2006-08-26 |
| 1427083013 | Kristine A Newman | Nurse Practitioner | 62 Hackett Blvd, Albany, NY 12209 | 2006-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356993968 | Shanta Ienee Pointer | Licensed Practical Nurse | 337 Second Avenue, Albany, NY 12209 | 2019-07-13 |
| 1396266011 | 24 Seven Medical Transportation Inc | Non-emergency Medical Transport (VAN) | 13 Beekman Street, Albany, NY 12209 | 2017-07-03 |
| 1255852554 | Taisha Dejesus | Taxi | 17 Oneida Terrance, Albany, NY 12209 | 2017-06-28 |
| 1205385218 | Shirley Jean Bolden | Licensed Practical Nurse | 3 Beekman St., Albany, NY 12209 | 2016-10-03 |
| 1285069492 | Chandra Wells | Speech-Language Pathologist | 33 Betwood St, Albany, NY 12209 | 2013-09-06 |
| 1790061406 | Olive Farooq | Registered Nurse | 100 Elbel Ct, Albany, NY 12209 | 2011-10-26 |
| 1982988184 | Susan Daniels | Social Worker | 100 Elbel Court, Myers Middle School, Albany, NY 12209 | 2011-10-06 |
| 1679725535 | Alyssa Catharine Lotmore | Social Worker | 102 Hackett Blvd., Albany, NY 12209 | 2008-10-22 |
| 1255497707 | Kimberly Ann Kilby | Family Medicine | 25 Hackett Blvd # Mc133, Albany, NY 12209 | 2006-12-29 |
| 1427158880 | Eckerd Corporation | Pharmacy | 493 Delaware Avenue, Albany, NY 12209 | 2006-09-25 |
| Find all providers in zip 12209 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1063789865 | Swati Mehta | Internal Medicine | 2 Beaver Pond Rd, Albany, NY 12211-1402 | 2011-11-22 |
| 1922000611 | James Fletcher Horn | Internal Medicine | 62 Hackett Blvd, Albany, NY 12209-1718 | 2005-08-11 |
| 1952860959 | Annie Mae Walker | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2019-03-19 |
| 1669853677 | Salim Bou Slaiman | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2015-06-16 |
| 1861730855 | Lifeline Vascular Center - Albany, LLC | Internal Medicine | 2300 Dawson Rd, Suite, Albany, GA 31707-2803 | 2013-01-25 |
| 1720343783 | Avantika Chenna | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2012-07-05 |
| 1700145786 | Albany General Hospital | Internal Medicine | 1086 7th Ave Sw, Albany, OR 97321-1997 | 2012-05-10 |
| 1720376197 | Pradeep Reddy Thodima | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2011-07-19 |
| 1023334828 | Shivakanth Burugu | Internal Medicine | 1200 N Jefferson St, Albany, GA 31701-2057 | 2010-04-19 |
| 1912141979 | Paul Jack Der Mesropian | Internal Medicine | 113 Holland Ave, Albany Stratton Va - Division of Nephrology, Albany, NY 12208-3410 | 2009-04-21 |
| 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.