# ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
- **Other names:** Capital Region Colon & Rectal Surgery, Capital District Colon & Rectal Surgery Associates
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558909234
- **Legal business name:** ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
- **Authorized official:** GARY TERK (CREDENTIALING MANAGER)
- **Authorized official phone:** (518) 525-5634

## Contact information

- **Practice address:** 319 S MANNING BLVD STE 310, ALBANY, NY 12208-1743
- **Practice address phone:** (518) 438-2776
- **Mailing address:** PO BOX 14890, ALBANY, NY 12212-4890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/13/2019
- **Last updated:** 09/01/2026