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CAPITAL CITY GOSPEL MISSION FREE CLINIC
NPI 1710687199
Physician Assistant in Albany, NY

Active since March 06, 2023CLIA 33D1034632 · Waiver
88 TRINITY PLACE, ALBANY, NY 12202(518) 533-5415 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Capital City Gospel Mission Free Clinic NPPES

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

CAPITAL CITY GOSPEL MISSION FREE CLINIC (NPI 1710687199) is a healthcare organization registered as a physician assistant in Albany, New York and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Stephanie Zeronda, Clinic Director, as its authorized official.

NPPES Registry Identity

NPI1710687199
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameCAPITAL CITY GOSPEL MISSION FREE CLINIC
Location Address88 TRINITY PLACEAlbany, NY 12202
Mailing Address259 S Pearl StAlbany, NY 12202-1859
Phone(518) 533-5415
Organization SubpartYesParent: Capital City Gospel Mission
Authorized OfficialStephanie ZerondaClinic Director · (518) 533-5415
Enumeration DateMarch 6, 2023
NPPES CertifiedMarch 2, 2023
✔ NPI 1710687199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
88 TRINITY PLACE, Albany, NY 12202
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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 33D1034632

Capital City Rescue Mission Free Clinic · Albany, NY
Active · expires Mar 26, 2027
CLIA Number33D1034632
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 8, 2004
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorMs. Stephanie W. Zeronda
Laboratory Phone(518) 462-0459
Laboratory LocationCapital City Rescue Mission Free Clinic88 Trinity Place, Albany, NY 12202
CLIA data matches this NPI record on: Address
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 Capital City Gospel Mission Free Clinic's NPI number?

The NPI number for Capital City Gospel Mission Free Clinic is 1710687199. It was assigned to this organization in the NPPES registry on March 6, 2023.

Where is Capital City Gospel Mission Free Clinic located?

Capital City Gospel Mission Free Clinic is located at 88 Trinity Place, Albany, NY 12202. The listed phone number is (518) 533-5415.

What is Capital City Gospel Mission Free Clinic's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Capital City Gospel Mission Free Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1034632) 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 Capital City Gospel Mission Free Clinic was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.