ALBANY MEDICAL COLLEGE — NPI 1164456067 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in ALBANY, NY)

CMS-1500 Box 24J / 33a • NPI

1164456067

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207V00000X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

47 NEW SCOTLAND AVE, MC 74, ALBANY, NY, 12208-3412

✓ 9-Digit EDI 837 ZIP+4 (12208-3412)

Practice Phone & Referral Fax

(518) 262-8886

Fax: (518) 262-2675

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1164456067 (ALBANY MEDICAL COLLEGE) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1164456067` (NPI-2 Organization / Facility)
Provider / Legal Name	ALBANY MEDICAL COLLEGE
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207V00000X` (Obstetrics & Gynecology)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	47 NEW SCOTLAND AVE, MC 74, ALBANY, NY, 12208-3412
Practice Telephone / Fax	Tel: (518) 262-8886 \| Fax: (518) 262-2675
Administrative Mailing Address	1275 BROADWAY # MC106, MENANDS, NY, 12204-2638
Enumeration & Last Sync	Enumerated: 2006-07-10 \| CMS Record Updated: 2020-04-22
Authorized Official	VINCENT VERDILE (DEAN)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

47 NEW SCOTLAND AVE, MC 74, ALBANY, NY, 12208-3412

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Plain-English Taxonomy & CMS Crosswalk (207V00000X)

What Does Taxonomy Code 207V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207V00000X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALBANY MEDICAL COLLEGE)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207VC0200X` — Obstetrics & Gynecology, Critical Care Medicine Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207VE0102X` — Obstetrics & Gynecology, Reproductive Endocrinology Plain English: Board-Certified Endocrinologist (Diabetes, Thyroid & Hormone Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`207VG0400X` — Obstetrics & Gynecology, Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207VM0101X` — Obstetrics & Gynecology, Maternal & Fetal Medicine Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207VX0000X` — Obstetrics & Gynecology, Obstetrics Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`207VX0201X` — Obstetrics & Gynecology, Gynecologic Oncology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Secondary
`363A00000X` — Physician Assistant Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant	State: N/A \| License: `Verified` \| Primary: Secondary
`363L00000X` — Nurse Practitioner Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Nurse Practitioner	State: N/A \| License: `Verified` \| Primary: Secondary
`367A00000X` — Advanced Practice Midwife Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse	State: N/A \| License: `Verified` \| Primary: Secondary
`207V00000X` — Obstetrics & Gynecology Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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ALBANY MEDICAL COLLEGE (NPI #1164456067)