SAMARITAN HOSPITAL OF TROY, NEW YORK (NPI# 1497239453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497239453 |
| Entity Type | Organization |
| Organization Name | SAMARITAN HOSPITAL OF TROY, NEW YORK |
| Other Organization Name | PEDIATRICS - ST. PETER'S PEDIATRICS |
| Practice Address |
1 Tallow Wood Drive Clifton Park NY 12065-2807 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5186880295 |
| Enumeration Date | 2018-09-17 |
| 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 | 176B00000X | Midwife | Other Service Providers | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Pediatrics - St. Peter's Pediatrics | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2215 Burdett Ave Fl 2, Troy, NY 121802466 | 5182727614 | |
| 500 Federal St Ste 602, Troy, NY 121802832 | 5182727614 |
| 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 |
1 TALLOW WOOD DRIVE |
| City | CLIFTON PARK |
| State | NY |
| Zip Code | 12065-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494054 | Karen A Doherty-wells | Physician Assistant | 1 Tallow Wood Drive, Clifton Park Family Practice, Clifton Park, NY 12065 | 2005-08-16 |
| 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 |
| 1164905113 | Samaritan Hospital of Troy, New York | Emergency Medicine | 1 Tallow Wood Drive, Clifton Park, NY 12065-2807 | 2018-09-14 |
| 1932608080 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 1 Tallow Wood Drive, Troy Surgical Associates, Clifton Park, NY 12065 | 2018-02-05 |
| 1801260435 | Seton Health System, Inc. | Clinic/Center | 1 Tallow Wood Drive, St. Peter's Urgent Care, Clifton Park, NY 12065-2807 | 2015-11-19 |
| 1720474554 | St.peters Health Partners Medical Assoicates PC | Radiology | 1 Tallow Wood Drive, St. Peter's Medical Imaging, Clifton Park, NY 12065-2807 | 2015-04-08 |
| 1558598367 | Dawne Louise Parker | Nurse Practitioner | 1 Tallow Wood Drive, Clifton Park Family Practice, Clifton Park, NY 12065 | 2009-06-18 |
| 1942311618 | Eileen M Murphy | Nurse Practitioner | 1 Tallow Wood Drive, St. Peter's Urgent Care, Clifton Park, NY 12065 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395392 | Farah Malek | Pathology | 51 Heritage Point Drvie, Clifton Park, NY 12065 | 2020-04-22 |
| 1679116115 | Mary Beth Bulger | Registered Nurse | Shenendehowa Central School, 970 Rt 146, Clifton Park, NY 12065 | 2019-10-28 |
| 1346801636 | Terri Anne Willman | Physician Assistant | 1783 Route 9 Suite 102, Clifton Park, NY 12065 | 2019-06-26 |
| 1437633732 | Abhishek Chopra | Pharmacist | 74 Squire Lane, Clifton Park, NY 12065 | 2018-09-21 |
| 1295213817 | Ella Kotsyuba | Pharmacist | 1022 Ny-146, Clifton Park, NY 12065 | 2018-08-06 |
| 1659865962 | Dorothy Lacombe Adult Healthcare Nurse Practitioner Pllc | Internal Medicine | 954 Rt 146, Suite 3, Clifton Park, NY 12065 | 2018-06-20 |
| 1245723907 | Catherine Marie Blaauboer I | Licensed Practical Nurse | 206 Alnut Drive, Clifton Park, NY 12065 | 2018-06-07 |
| 1326530627 | Melissa Morgan | Physician Assistant | 29 Mann Blvd, Halfmoon, NY 12065 | 2018-06-01 |
| 1982101465 | Janelle Stannard | Occupational Therapist | 23 Sitterly Road, Clifton Park, NY 12065 | 2018-04-10 |
| 1962903831 | Clifton Park Asc LLC | Clinic/Center | 16 Maxwell Dr., Clifton Park, NY 12065 | 2018-02-26 |
| Find all providers in zip 12065 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417332933 | Columbia University | General Acute Care Hospital | 16 Castle Pnes, Clifton Park, NY 12065-2128 | 2015-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225507114 | University Hospital At Stony Brook | General Acute Care Hospital | 740 County Road 39, Southampton, NY 11968-5090 | 2018-11-20 |
| 1184108144 | Samaritan Hospital of Troy, New York | General Acute Care Hospital | 500 Federal St Ste 602, Troy, NY 12180-2832 | 2018-09-17 |
| 1225559149 | Zulfa Omer | General Acute Care Hospital | 234 E 149th St Ste 20-8, Bronx, NY 10451-5504 | 2017-06-30 |
| 1992230171 | Ny Presbyterian-queens | General Acute Care Hospital | 85-88 Parsons Blvd., Jamaica, NY 11432 | 2017-04-26 |
| 1760916324 | Nayab Chowhan | General Acute Care Hospital | 818 Friel Pl, Brooklyn, NY 11218-2609 | 2017-04-20 |
| 1629509146 | Luke Alessi | General Acute Care Hospital | 207 Bayville Ave, Bayville, NY 11709-1652 | 2017-03-26 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1255878492 | Winthrop University Hospital | General Acute Care Hospital | 212 Jericho Turnpike, Mineola, NY 11501 | 2017-01-26 |
| 1316480353 | Compassionate Companion Care, Pllc | General Acute Care Hospital | 204 Hendy Creek Rd, Pine City, NY 14871-9760 | 2016-11-23 |
| 1164964078 | Adrielle Ofosu | General Acute Care Hospital | 84 Kimball Ave, Yonkers, NY 10704-4222 | 2016-11-09 |
| Find all providers with the same taxonomy | ||||
| City | CLIFTON PARK |
| Zip Code | 12065 |
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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.