OrganizationActive
St. Peters Health Partners Medical Associates PC
NPI 1104257252 · Family Medicine Physician · Stone Ridge, NY
Provider details
- NPI number
- 1104257252
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- St. Peters Health Partners Medical Associates, PC
- Organization subpart
- Yes
- Authorized official
- Paul Gordon, Cfo(518) 525-1585
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10 Gagnon Dr
Stone Ridge, NY 12484-5120
Phone: (548) 687-7455
Street-level locationGet directions
Mailing address
10 Gagnon Dr
Stone Ridge, NY 12484-5120
Registry dates
- Enumerated
- 2013-11-27
- Last updated
- 2014-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.