ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES P.C. NPI 1023538428

NPI Information

NPI: 1023538428
Provider Name: ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

Other Name: TROY MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D2060524

Address:
720 HOOSICK ROAD
TROY MEDICAL GROUP
TROY, NY
ZIP 12180
Phone: (518) 272-7191
Get Directions

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. is a family medicine in Troy, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. NPI is 1023538428. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Troy Medical Group.

The provider's business location address is:

720 HOOSICK ROAD
TROY MEDICAL GROUP
TROY, NY
ZIP 12180-673
Phone: (518) 272-7191

The provider's authorized official is Courtney Knowles .
The authorized official title is Credentialing Manager and has the following contact phone number (518) 525-5634.

The CLIA number assigned to this NPI record is 33D2060524 - ancillary test site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2017 and was last updated on 10/6/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	208M00000X	Hospitalist		No
3	261QM1300X	Clinic/Center	Multi-Specialty	No
4	363A00000X	Physician Assistant		No
5	363L00000X	Nurse Practitioner		No
6	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03539695	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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