ST. PETER'S PEDIATRICS
NPI 1750626404
Clinic/Center - Multi-Specialty in Albany, NY

NPI Status: Active since December 06, 2012

Contact Information

400 PATROON CREEK BLVD SUITE 200
ST. PETER'S PEDIATRICS
ALBANY, NY
ZIP 12206
Phone: (518) 525-2445
Fax: (518) 475-7069

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 33D2130785
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-26-2027

About ST. PETER'S PEDIATRICS

This page provides the complete NPI Profile along with additional information for St. Peter's Pediatrics, a provider established in Albany, New York operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1750626404 assigned on December 2012. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. St. Peter's Pediatrics operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is St. Peter's Pediatrics. The authorized official of this NPI record is Courtney Knowles (Manager Credentialing & Enrollment)

NPI
1750626404
Provider Legal Name
ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.
Other Organization Name
ST. PETER'S PEDIATRICS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
400 PATROON CREEK BLVD SUITE 200 ST. PETER'S PEDIATRICS ALBANY, NY 12206
Location Phone
(518) 525-2445
Location Fax
(518) 475-7069
Mailing Address
PO BOX 14890 ALBANY, NY 12212
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-06-2012
Last Update Date
08-29-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
3363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
4363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

COURTNEY KNOWLES

Authorized Official Title
MANAGER CREDENTIALING & ENROLLMENT
Authorized Official Phone
(518) 525-5634

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2130785
Facility Type
Physician Office
Certificate Effective Date
May 17, 2017
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. MELISSA J. VEINO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to St. Peter's Pediatrics in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1750626404, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 6 → 12 → 3 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 0 + 0 + 1 + 2 + 2 + 1 + 2 + 4 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1750626404.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750626404, enumerated as an "organization" on December 06, 2012.

The provider is located at 400 PATROON CREEK BLVD SUITE 200 ST. PETER'S PEDIATRICS ALBANY, NY 12206 and the phone number is (518) 525-2445.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.