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ST. PETER'S RENSSELAER HEALTH CENTER
NPI 1487725750
Internal Medicine in Rensselaer, NY

Active since November 10, 2006CLIA 33D0911529 · Waiver
53 COLUMBIA STREET, RENSSELAER, NY 12144(518) 434-2526 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2021, Feb 9, 2021, Dec 30, 2019 (3 updates tracked since 2019).

About St. Peter's Rensselaer Health Center NPPES

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

ST. PETER'S RENSSELAER HEALTH CENTER (NPI 1487725750) is a healthcare organization registered as an internal medicine in Rensselaer, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Courtney Knowles, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1487725750
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameST. PETER'S HOSPITAL OF THE CITY OF ALBANY
Location Address53 COLUMBIA STREETRensselaer, NY 12144-2933
Mailing AddressPo Box 14890Albany, NY 12212-4890
Phone(518) 434-2526
Organization SubpartYesParent: St. Peter's Addiction Recovery Center
Authorized OfficialCourtney KnowlesCredentialing Manager · (518) 525-5634
Enumeration DateNovember 10, 2006
Last NPPES UpdateOctober 11, 20213 updates tracked since enumeration
NPPES CertifiedOctober 11, 2021
✔ NPI 1487725750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
53 COLUMBIA STREET, Rensselaer, NY 12144
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Other Names 1

Other NameSt. Peter's Rensselaer Health Center

Other Identifiers 1

Medicaid02333773NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 33D0911529

St Peter's Rensselaer Health Center · Rensselaer, NY
Active · expires Mar 26, 2027
CLIA Number33D0911529
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 5, 2016
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Yashuda Gurung
Laboratory Phone(518) 434-2526
Laboratory LocationSt Peter's Rensselaer Health Center53 Columbia Street, Rensselaer, NY 12144
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATAUL GHANI PA
Physician Assistant
53 COLUMBIA STREET, ST. PETER'S HOSPITAL RENSSELAER HEALTH CENTER
RENSSELAER, NY 12144
Rensselaer County (518) 434-2526
ELIZABETH CATHERINE FLAHERTY FNP-BC
Nurse Practitioner (Family)
53 COLUMBIA STREET
RENSSELAER, NY 12144
Rensselaer County (518) 434-2526
DR. VIVIAN ASAKOMA MD
Family Medicine
53 COLUMBIA STREET
RENSSELAER, NY 12144
Rensselaer County (518) 434-2526

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 St. Peter's Hospital Of The City Of Albany's NPI number?

The NPI number for St. Peter's Hospital Of The City Of Albany is 1487725750. It was assigned to this organization in the NPPES registry on November 10, 2006. The provider is also known as St. Peter's Rensselaer Health Center.

Where is St. Peter's Hospital Of The City Of Albany located?

St. Peter's Hospital Of The City Of Albany is located at 53 Columbia Street, Rensselaer, NY 12144. The listed phone number is (518) 434-2526.

What is St. Peter's Hospital Of The City Of Albany's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does St. Peter's Hospital Of The City Of Albany hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0911529) is associated with this NPI, valid through March 26, 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 St. Peter's Hospital Of The City Of Albany was last updated on October 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.