Provider Type Icon

ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES PC NPI 1831434588


NPI Information

NPI: 1831434588
Provider Name: ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC

Other Name: PRIME CARE-17 GLENN POND ROAD

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
17 GLEN POND DR
RED HOOK, NY
ZIP 12571
Phone: (845) 758-6046
Get Directions

ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC is a cardiovascular disease internal medicine in Red Hook, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. ST PETERS HEALTH PARTNERS MEDICAL ASSOCIATES, PC NPI is 1831434588. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Prime Care-17 Glenn Pond Road.

The provider's business location address is:

17 GLEN POND DR
RED HOOK, NY
ZIP 12571-840
Phone: (845) 758-6046
Fax: (845) 758-6051

The provider's authorized official is Paul Gordon .
The authorized official title is Dir Fin/admin Phys Enterprise and has the following contact phone number (518) 525-1585.

The enumeration date for this NPI number is 12/6/2012 and was last updated on 1/21/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.