Provider Type Icon

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES P.C. NPI 1962846022


NPI Information

NPI: 1962846022
Provider Name: ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

Other Name: ST. PETER'S GENERAL SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
319 S MANNING BLVD STE 304
ALBANY, NY
ZIP 12208
Phone: (518) 525-5207
Get Directions

ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. is a surgery in Albany, NY. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C. NPI is 1962846022. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is St. Peter's General Surgery.

The provider's business location address is:

319 S MANNING BLVD STE 304
ALBANY, NY
ZIP 12208-744
Phone: (518) 525-5207

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 enumeration date for this NPI number is 4/19/2013 and was last updated on 10/7/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryNo
2208C00000XColon & Rectal SurgeryNo
3261QM1300XClinic/CenterMulti-SpecialtyNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo
6363LF0000XNurse PractitionerFamilyNo
7208600000XSurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103539695MEDICAIDNEW 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: 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.