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CARONDELET REGIONAL MEDICAL, PC
NPI 1861939944
General Practice in Broadalbin, NY

Active since January 26, 2017
3768 STATE HIGHWAY 30, BROADALBIN HEALTH CENTER, BROADALBIN, NY 12025(518) 883-3121(518) 883-8268 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 22, 2023, Aug 15, 2019, Jan 26, 2017 (3 updates tracked since 2017).

About Carondelet Regional Medical, Pc NPPES

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

CARONDELET REGIONAL MEDICAL, PC (NPI 1861939944) is a healthcare organization registered as a general practice in Broadalbin, New York and active in the NPI registry since January 2017. The organization maintains a secondary practice location in Amsterdam and lists Ronald N Marsh, President, as its authorized official.

NPPES Registry Identity

NPI1861939944
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameCARONDELET REGIONAL MEDICAL, PC
Location Address3768 STATE HIGHWAY 30, BROADALBIN HEALTH CENTERBroadalbin, NY 12025-0923
Mailing Address427 Guy Park AveAmsterdam, NY 12010-1064 · (518) 841-7401 · Fax (518) 841-7404
Phone(518) 883-3121
Fax(518) 883-8268
Organization SubpartNo
Authorized OfficialRonald N MarshPresident · (518) 843-6914
Enumeration DateJanuary 26, 2017
Last NPPES UpdateMay 22, 20233 updates tracked since enumeration
NPPES CertifiedMay 22, 2023
✔ NPI 1861939944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
3768 STATE HIGHWAY 30, Broadalbin, NY 12025
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Secondary Practice Location 1

Location 1119 Holland Circle DrAmsterdam, NY 12010-7550 · Phone (518) 843-6914 · Fax (518) 843-6915

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carondelet Regional Medical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Carondelet Regional Medical, PC, which bills Medicare for the services they deliver. Of these, 17 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Nurse Practitioner10
Family Practice8
Emergency Medicine2
General Surgery2
Pediatric Medicine1

Nearest to this location (20)

See all 23
Kevin Cope, M.D
Family Practice
NPI 1861498248
3768 ST HWY 30
Broadalbin, NY 12025
(518) 883-3121
✔ PECOS✔ Accepts Medicare0.2 mi
Crystal Burnsby, FNP
Nurse Practitioner
NPI 1205391489
3768 STATE HIGHWAY 30
Amsterdam, NY 12010
(518) 883-3121
✔ PECOS✔ Accepts Medicare0.6 mi
William Mayer, M.D
Family Practice
NPI 1518963941
3768 ST HWY 30
Broadalbin, NY 12025
(518) 883-3121
✔ PECOS✔ Accepts Medicare0.6 mi
Julie Martin, FNP
Nurse Practitioner
NPI 1740658244
103 COUNTY HIGHWAY 138
Broadalbin, NY 12025
(518) 883-1023
✔ PECOS✔ Accepts Medicare4.7 mi
Vikram Verma, D.O.
Family Practice
NPI 1427346204
2497 STATE HIGHWAY 30
Mayfield, NY 12117
(518) 661-5493
✔ PECOS✔ Accepts Medicare4.8 mi
Walter Cummings, D.O.
Family Practice
NPI 1790982478
119 HOLLAND CIRCLE DR
Amsterdam, NY 12010
(518) 843-4522
✔ PECOS✔ Accepts Medicare5.6 mi
Robert Droege, MD
Family Practice
NPI 1164423489
119 HOLLAND CIRCLE DR
Amsterdam, NY 12010
(518) 843-4522
✔ PECOS✔ Accepts Medicare5.6 mi
William Forlano, M.D.
Family Practice
NPI 1114928413
119 HOLLAND CIRCLE DR
Amsterdam, NY 12010
(518) 843-4522
✔ PECOS✔ Accepts Medicare5.6 mi
Ronald Marsh, M.D.,F.A.C.S.
General Surgery
NPI 1932219367
119 HOLLAND CIRCLE DR
Amsterdam, NY 12010
(518) 843-6914
✔ PECOS✔ Accepts Medicare5.6 mi
Linda Selby, F.N.P.
Nurse Practitioner
NPI 1639165251
119 HOLLAND CIRCLE DR
Amsterdam, NY 12010
(518) 843-4522
✔ PECOS✔ Accepts Medicare5.6 mi
Chelsea Sohns
Nurse Practitioner
NPI 1598422164
119 HOLLAND CIRCLE DR
Amsterdam, NY 12010
(518) 843-4522
✔ PECOS✔ Accepts Medicare5.6 mi
George Weis, DO
Family Practice
NPI 1457352999
119 HOLLAND CIRCLE DR
Amsterdam, NY 12010
(518) 843-4522
✔ PECOS✔ Accepts Medicare5.6 mi
Nicole Santiago, FNP
Nurse Practitioner
NPI 1730527458
84 E STATE ST
Gloversville, NY 12078
(518) 773-8894
✔ PECOS✔ Accepts Medicare6.0 mi
Jeri Lynne Savoie, FNP
Nurse Practitioner
NPI 1003010786
5010 STATE HIGHWAY 30
Amsterdam, NY 12010
(518) 842-0017
✔ PECOS✔ Accepts Medicare6.6 mi
Susan Casler Bladek, NP
Nurse Practitioner
NPI 1558395418
427 GUY PARK AVE
Amsterdam, NY 12010
(518) 841-7237
✔ PECOS✔ Accepts Medicare6.7 mi
James Forrest, NP
Nurse Practitioner
NPI 1336183292
427 GUY PARK AVE
Amsterdam, NY 12010
(518) 841-7237
✔ PECOS✔ Accepts Medicare6.7 mi
Govind Rao, MD
Pediatric Medicine
NPI 1225146574
1 FRONT NEENA RAO MEDICAL CENTER
Amsterdam, NY 12010
(518) 843-4414
✔ PECOS8.7 mi
Heather Miner-Goetz, FNP-C
Nurse Practitioner
NPI 1366105389
2 SCHLENSKER DR
Glenville, NY 12302
(518) 593-5127
✔ PECOS✔ Accepts Medicare17 mi
Craig Todd, M.D.
Emergency Medicine
NPI 1033170873
600 MCCLELLAN ST
Schenectady, NY 12304
(518) 382-2222
✔ PECOS✔ Accepts Medicare23 mi
David Robinson, MD
Family Practice
NPI 1053340489
315 S MANNING BLVD @ ST. PETER'S HOSPITAL ER DEPT.
Albany, NY 12208
(518) 525-1324
✔ PECOS✔ Accepts Medicare34 mi
See all 23 clinicians

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

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 Carondelet Regional Medical, PC's NPI number?

The NPI number for Carondelet Regional Medical, PC is 1861939944. It was assigned to this organization in the NPPES registry on January 26, 2017.

Where is Carondelet Regional Medical, PC located?

Carondelet Regional Medical, PC is located at 3768 State Highway 30 Broadalbin Health Center, Broadalbin, NY 12025. The listed phone number is (518) 883-3121.

What is Carondelet Regional Medical, PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Carondelet Regional Medical, PC enrolled in Medicare?

Yes. Carondelet Regional Medical, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carondelet Regional Medical, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 5 Medicare specialties reassign their Medicare billing to Carondelet Regional Medical, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (10), Family Practice (8) and Emergency Medicine (2). Of these, 17 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carondelet Regional Medical, PC was last updated on May 22, 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.