MEDICARE: ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	363A00000X	Physician Assistant
2	363LF0000X	Family Nurse Practitioner
3	261QM1300X	Multi-Specialty Clinic/Center
4	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1659203982
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ST. PETER'S HEALTH PARTNERS MEDICAL ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	PO BOX 14890
Second Line	:
City	:	ALBANY
State	:	NY
Zip	:	12212-4890
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 MAPLE COMMONS DRIVE, SUITE 110
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-5741
Country	:	US
Telephone Number	:	518-593-6470
Fax Number	:	518-944-2621

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	GARY TERK
Credential	:
Telephone Number	:	518-525-5634

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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