1. Home
  2. Directory
  3. New York
  4. Albany
  5. Family Medicine
  6. NPI Profile

JOSE M DAVID THE PRACTICE OF FAMILY MEDCINE
NPI 1043861974
Family Medicine in Albany, NY

Active since September 23, 2019CLIA 33D2171984 · Waiver

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2019, Sep 23, 2019 (2 updates tracked since 2019).

About Jose M David The Practice Of Family Medcine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSE M DAVID THE PRACTICE OF FAMILY MEDCINE (NPI 1043861974) is a healthcare organization registered as a family medicine in Albany, New York and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through September 11, 2027 and lists Jennifer Martin, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1043861974
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALBANY FAMILY MEDICINE PLLC
Location Address1 ALTON RDAlbany, NY 12203-4253
Mailing Address1 Alton RdAlbany, NY 12203-4253 · (518) 456-4634
Phone(518) 456-4634
Organization SubpartNo
Authorized OfficialJennifer MartinPractice Manager · (518) 456-4634
Enumeration DateSeptember 23, 2019
Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration
✔ NPI 1043861974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1 ALTON RD, Albany, NY 12203
Open in Google Maps ↗

Other Names 1

Doing Business AsJose M David The Practice Of Family Medcine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose M David The Practice Of Family Medcine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jose M David The Practice Of Family Medcine, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jose David, M.D.
Family Practice
NPI 1831181981
1 ALTON RD
Albany, NY 12203
(518) 456-4634
✔ PECOSSame address
Shana White-Mcguire, NP
Nurse Practitioner
NPI 1720625551
11050 71ST RD STE 1B
Forest Hills, NY 11375
(718) 268-1458
✔ PECOS135 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2171984

Jose M David MD Dba Albany Family Medicine · Albany, NY
Active · expires Sep 11, 2027
CLIA Number33D2171984
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorDr. Jose M. David
Laboratory Phone(518) 456-4634
Laboratory LocationJose M David MD Dba Albany Family Medicine1 Alton Road, Albany, NY 12203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Albany Family Medicine PLLC's NPI number?

The NPI number for Albany Family Medicine PLLC is 1043861974. It was assigned to this organization in the NPPES registry on September 23, 2019. The provider is doing business as Jose M David The Practice Of Family Medcine.

Where is Albany Family Medicine PLLC located?

Albany Family Medicine PLLC is located at 1 Alton Rd, Albany, NY 12203. The listed phone number is (518) 456-4634.

What is Albany Family Medicine PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Albany Family Medicine PLLC enrolled in Medicare?

Yes. Albany Family Medicine PLLC is registered in the Medicare PECOS enrollment system.

Does Albany Family Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2171984) is associated with this NPI, valid through September 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Albany Family Medicine PLLC was last updated on November 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.