ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. (NPI# 1669717260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669717260 |
| Entity Type | Organization |
| Organization Name | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. |
| Other Organization Name | SLINGERLANDS PEDIATRICS |
| Practice Address |
1240 New Scotland Road Suite 203 Slingerlands NY 12159-9222 |
| Mailing Address |
Po Box 14890 Albany NY 12212-4890 |
| Practice Telephone | 5184789423 |
| Mailing Telephone | 5185255634 |
| Mailing Fax Number | 5186494094 |
| Enumeration Date | 2012-12-07 |
| 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. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03539695 | 05 |
| Other Name | Type Code |
|---|---|
| Slingerlands Pediatrics | Doing Business As Name - Organization |
| Slingerlands Pediatrics | Other Name - Individual/Organization |
| St. Peter's Internal Medicine | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1240 New Scotland Rd Ste 205, Slingerlands, NY 121599222 | 5184759235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1477176634 | St. Peter's Health Partners Medical Associates, P.C. | Clinic/Center | 1301 River Street Suite 202, St. Peter's Obgyn At Valatie, Valatie, NY 12184-8696 | 2020-05-22 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1881179646 | St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | 2109 15th Street, Troy, NY 12180 | 2018-09-27 |
| 1295211365 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 110b, Albany, NY 12208-1744 | 2018-07-12 |
| 1992227714 | St. Peter's Health Partners Medical Associates, P.C. | Dietitian, Registered | 319 South Manning Blvd Suite 307, Albany, NY 12208 | 2017-07-13 |
| 1922550011 | St. Peter's Health Partners Medical Associates, P.C. | Nutritionist | 2 New Hampshire Ave Ste 200, Troy, NY 12180-1762 | 2016-10-25 |
| 1285061721 | St. Peter's Health Partners Medical Associates, P.C. | Urology | 63 Shaker Rd Ste 202, Albany, NY 12204-1030 | 2013-09-30 |
| 1427394675 | St. Peter's Health Partners Medical Associates, P.C. | Midwife | 31 Lower Hudson Avenue, Green Island, NY 12183-1014 | 2012-12-17 |
| 1083959738 | St. Peter's Health Partners Medical Associates, P.C. | Physical Medicine & Rehabilitation | 1444 Western Ave Ste A, Albany, NY 12203-3458 | 2012-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. | Att: President, 315 S. Manning Blvd, Albany, Ny 12208 |
| Street Address |
1240 NEW SCOTLAND ROAD SUITE 203 |
| City | SLINGERLANDS |
| State | NY |
| Zip Code | 12159-9222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164530002 | Kevin Mangan | Audiologist | 1240 New Scotland Road, Speech Pathology and Audiology Department, Slingerlands, NY 12159 | 2006-08-29 |
| 1548336936 | St. Peter's Hospital of The City of Albany | Obstetrics & Gynecology | 1240 New Scotland Road, Slingerlands, NY 12159-9276 | 2006-11-28 |
| 1073686069 | St. Peter's Hospital of The City of Albany | Family Medicine | 1240 New Scotland Road, Suite 100, Slingerlands, NY 12159-9221 | 2006-11-16 |
| 1861563116 | St. Peter's Hospital of The City of Albany | Nurse Practitioner | 1240 New Scotland Road, Suite 100, Slingerlands, NY 12159-9276 | 2006-11-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649795667 | Jennifer Bannigan | Dietitian, Registered | 46 Daniel St, Slingerlands, NY 12159 | 2017-08-10 |
| 1477009082 | Miranda Alfred Lamorte | Occupational Therapy Assistant | 301 Highgate Drive, Slingerlands, NY 12159 | 2016-09-01 |
| 1083043814 | Robert George Westphal | Internal Medicine | 268 Font Grove Rd., Slingerlands, NY 12159 | 2013-11-02 |
| 1750624987 | Valerie Chen | Ophthalmology | 1220 New Scotland Rd Ste 302, Slingerlands, NY 12159 | 2013-04-06 |
| 1568707222 | St. Peter's Health Partners Medical Associates, P.C. | Physician Assistant | 1240 New Scotland Rd Suite 205, Suite 205, Slingerlands, NY 12159 | 2012-12-06 |
| 1235374166 | Joseph Concodora Farrell | Pharmacist | 1395 New Scotland Rd #176, Price Chopper Pharmacy, Slingerlands, NY 12159 | 2008-12-05 |
| 1720232747 | Michele Lynn Ryan | Community Health Worker | 43 Staffords's Xing, Slingerlands, NY 12159 | 2008-11-05 |
| 1396818027 | Virginia M Lazaro | Internal Medicine | 834 Kenwood Avenue, Slingerlands, NY 12159 | 2006-11-17 |
| 1477656080 | Michelene Sohnen | Speech-Language Pathologist | 334 Krumkill Road, Slingerlands, NY 12159 | 2006-09-07 |
| 1235231168 | Margaret Mary Grogan | Internal Medicine | 1525 New Scotland Rd, Slingerlands, NY 12159 | 2006-09-01 |
| Find all providers in zip 12159 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962494906 | Paul E Gaffuri | Pediatrics | 1240 New Scotland Rd Ste 203, Slingerlands, NY 12159-9222 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518577550 | Danielle Vann | Pediatrics | 151 N Washington St # 2s, Sleepy Hollow, NY 10591-3117 | 2020-08-04 |
| 1699392357 | Long Island Pediatrics of Patchogue PC | Pediatrics | 475 E Main St Ste 109, Patchogue, NY 11772-3121 | 2020-06-29 |
| 1811510811 | Dr Pediatric PC | Pediatrics | 38 Hopewell Dr, Stony Brook, NY 11790-2339 | 2020-05-26 |
| 1598386864 | Sandra Howard Bonat | Pediatrics | 4 Filomena Ct, Dix Hills, NY 11746-4750 | 2020-04-28 |
| 1497374359 | Medical Health 360 Pllc | Pediatrics | 16955 County Route 59, Dexter, NY 13634-2027 | 2020-04-10 |
| 1922633007 | Danzi & Hajduk-bennett Pediatrics Pllc | Pediatrics | 994 W Jericho Tpke Ste 202, Smithtown, NY 11787-3234 | 2020-03-09 |
| 1396377180 | Chelsea Oberkrieser | Pediatrics | 17 Long Ave Ste 110, Hamburg, NY 14075-6200 | 2020-02-10 |
| 1619508900 | Total Care Pediatrics Pllc | Pediatrics | 4265 Kissena Blvd # L4, Flushing, NY 11355-3273 | 2020-01-27 |
| 1639709157 | Decerina Uy Md PC | Pediatrics | 649 Route 25a Ste 3, Rocky Point, NY 11778-8983 | 2020-01-23 |
| 1447890603 | Opear Holdings, Inc | Pediatrics | 2635 Frances St, Bellmore, NY 11710-5401 | 2020-01-15 |
| Find all providers with the same taxonomy | ||||
| City | SLINGERLANDS |
| Zip Code | 12159 |
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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.