Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Active
Organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Active
Parent organization
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, PC
Authorized official
JANICE MACKE (CFO)
(518) 525-5634
Entity
Organization
Contact information
Practice address
279 TROY ROAD, FAMILY MEDICAL GROUP, RENSSELAER, NY 12144-9518
(518) 286-1922
Mailing address
PO BOX 14890, ST. PETER'S HEALTH PARTNERS PAYER CREDENTIALING, ALBANY, NY 12212-4890
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up